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TL;DR
This report describes three pediatric cases of button battery ingestion that led to serious esophageal complications, emphasizing that immediate endoscopic removal is critical to prevent long-term injury.
JPGN reports · 9 authors, 3 centres
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This report describes three pediatric cases of button battery ingestion that led to serious esophageal complications, emphasizing that immediate endoscopic removal is critical to prevent long-term injury.
Case 2 involved fever and mediastinitis, with removal showing mucosal necrosis and a minor perforation that healed. Case 3 presented with an initially misidentified foreign body, leading to a tracheoesophageal fistula requiring surgical repair and prolonged hospitalization. The discussion synthesizes guidelines for management, advocating for immediate endoscopic removal for any esophageal impaction and suggesting pre-removal honey/sucralfate and intra-procedural acetic acid irrigation to mitigate damage. The cases highlight that symptoms are unreliable for indicating complications and that timely diagnosis and treatment are essential.