Disc battery ingestion in paediatric age. (26th April 2022)

• Record Type: Journal Article
• Authors: Quitadamo, Paolo; Caruso, Flora; del Monaco, Casimiro; Fiori Nastro, Francesca; Verde, Alessandra; Dolce, Pasquale; Caldore, Mariano; Bucci, Cristina
• Is Part Of: Acta pædiatrica. Volume 111:Number 8(2022)
• Page Start: 1615
• Page End: 1620
• Publication Date: 2022-04-26
• Subjects: disc batteries -- endoscopic removal -- oesophageal mucosal injury -- site retention; Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.16359
• Languages: English
• ISSNs: 0803-5253

Abstract

Abstract: Aim: The aim of the present study was to analyse clinical data of children referred for disc battery ingestion in order to assess short‐ and long‐term reported injuries and to identify outcome predictors and trends, define the urgency of intervention and refine treatment guidelines. Methods: The records of all children admitted to Santobono‐Pausilipon Children's Hospital, Naples, Italy for disc battery ingestion from January 2016 to December 2020 were retrospectively reviewed. Odds ratio were computed to assess the association between the different study variables and the rate of complications. Results: We enrolled 118 children. Mild to major complications related to the ingested disc batteries were reported in 12/118 (10.2%) patients. Disc battery oesophageal retention, disc battery diameter >20 mm, together with age below 1 year and symptomatic presentation were the most important factors associated with poor clinical outcome. Conclusion: Our data confirm that ingested disc batteries are a serious health hazard and require a timely and qualified medical evaluation. We have identified three predictors of outcome severity: oesophageal retention, large‐diameter cells and symptom onset. Disc batteries lodged beyond the oesophagus appear substantially harmless and we may support a more conservative approach.