Serious complications after button battery ingestion in children

Hilde Krom, Margot Visser, Jessie M. Hulst, Victorien M. Wolters, Anita M. van den Neucker, Tim de Meij, Hubert P. J. van der Doef, Obbe F. Norbruis, Marc A. Benninga, Margot J. M. Smit, Angelika Kindermann

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.
LanguageEnglish
Pages1063-1070
JournalEuropean Journal of Pediatrics
Volume177
Issue number7
DOIs
Publication statusPublished - 2018

Cite this

Krom, Hilde ; Visser, Margot ; Hulst, Jessie M. ; Wolters, Victorien M. ; van den Neucker, Anita M. ; de Meij, Tim ; van der Doef, Hubert P. J. ; Norbruis, Obbe F. ; Benninga, Marc A. ; Smit, Margot J. M. ; Kindermann, Angelika. / Serious complications after button battery ingestion in children. In: European Journal of Pediatrics. 2018 ; Vol. 177, No. 7. pp. 1063-1070.
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title = "Serious complications after button battery ingestion in children",
abstract = "Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3{\%}), swallowing/feeding problems (31.3{\%}), and fever (31.3{\%}) were the most common presenting symptoms; however, 18.8{\%} of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75{\%} ≥ 20 mm; 18.8{\%} < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50{\%}) and rigid endoscopy (37.5{\%}) or surgically (12.5{\%}). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.",
author = "Hilde Krom and Margot Visser and Hulst, {Jessie M.} and Wolters, {Victorien M.} and {van den Neucker}, {Anita M.} and {de Meij}, Tim and {van der Doef}, {Hubert P. J.} and Norbruis, {Obbe F.} and Benninga, {Marc A.} and Smit, {Margot J. M.} and Angelika Kindermann",
year = "2018",
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language = "English",
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pages = "1063--1070",
journal = "European Journal of Pediatrics",
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Krom, H, Visser, M, Hulst, JM, Wolters, VM, van den Neucker, AM, de Meij, T, van der Doef, HPJ, Norbruis, OF, Benninga, MA, Smit, MJM & Kindermann, A 2018, 'Serious complications after button battery ingestion in children', European Journal of Pediatrics, vol. 177, no. 7, pp. 1063-1070. https://doi.org/10.1007/s00431-018-3154-6

Serious complications after button battery ingestion in children. / Krom, Hilde; Visser, Margot; Hulst, Jessie M.; Wolters, Victorien M.; van den Neucker, Anita M.; de Meij, Tim; van der Doef, Hubert P. J.; Norbruis, Obbe F.; Benninga, Marc A.; Smit, Margot J. M.; Kindermann, Angelika.

In: European Journal of Pediatrics, Vol. 177, No. 7, 2018, p. 1063-1070.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Serious complications after button battery ingestion in children

AU - Krom, Hilde

AU - Visser, Margot

AU - Hulst, Jessie M.

AU - Wolters, Victorien M.

AU - van den Neucker, Anita M.

AU - de Meij, Tim

AU - van der Doef, Hubert P. J.

AU - Norbruis, Obbe F.

AU - Benninga, Marc A.

AU - Smit, Margot J. M.

AU - Kindermann, Angelika

PY - 2018

Y1 - 2018

N2 - Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.

AB - Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/29717359

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DO - 10.1007/s00431-018-3154-6

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JO - European Journal of Pediatrics

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JF - European Journal of Pediatrics

SN - 0340-6199

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