Button battery and magnet ingestions in the pediatric patient

Scott M. Bolton, Martha R Cotsen Saker, Lee M Bass*

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose of review Pediatric foreign body ingestion is a common occurrence that presents a challenge both to pediatric gastroenterologists and primary care providers. Increasing prevalence of smaller, more technologically advanced toys in the household has resulted in an increased exposure to higher voltage batteries and powerful magnets that carry a high incidence of morbidity and mortality. This review highlights the latest findings regarding the patients at risk for button battery and magnet ingestions, the symptoms of presentation, and complications of these objects in contributing to long-standing gastrointestinal injury. Recent findings Button batteries may lead to esophageal injury within a few hours. Batteries retained in the esophagus are larger in diameter on average and size is associated with esophageal impaction as well as higher grade esophageal injury. Magnet ingestions, when multiple or with another metallic object, are often initially asymptomatic but may have acute worsening, and therefore warrant close monitoring. Summary Button battery and magnet ingestions have increased in incidence over the past two decades. Recent literature demonstrates that higher voltage, larger lithium button batteries, and prevalence of high-powered magnets can lead to significant morbidity. High suspicion, early referral, and removal may lead to improved outcomes.

Original languageEnglish (US)
Pages (from-to)653-659
Number of pages7
JournalCurrent opinion in pediatrics
Volume30
Issue number5
DOIs
StatePublished - Jan 1 2018

Fingerprint

Magnets
Eating
Pediatrics
Wounds and Injuries
Morbidity
Play and Playthings
Incidence
Foreign Bodies
Lithium
Esophagus
Primary Health Care
Referral and Consultation
Mortality

Keywords

  • Button/disc battery
  • Foreign body ingestion
  • Magnet

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{7ec7d98a02fc4d87a70878b989bac77a,
title = "Button battery and magnet ingestions in the pediatric patient",
abstract = "Purpose of review Pediatric foreign body ingestion is a common occurrence that presents a challenge both to pediatric gastroenterologists and primary care providers. Increasing prevalence of smaller, more technologically advanced toys in the household has resulted in an increased exposure to higher voltage batteries and powerful magnets that carry a high incidence of morbidity and mortality. This review highlights the latest findings regarding the patients at risk for button battery and magnet ingestions, the symptoms of presentation, and complications of these objects in contributing to long-standing gastrointestinal injury. Recent findings Button batteries may lead to esophageal injury within a few hours. Batteries retained in the esophagus are larger in diameter on average and size is associated with esophageal impaction as well as higher grade esophageal injury. Magnet ingestions, when multiple or with another metallic object, are often initially asymptomatic but may have acute worsening, and therefore warrant close monitoring. Summary Button battery and magnet ingestions have increased in incidence over the past two decades. Recent literature demonstrates that higher voltage, larger lithium button batteries, and prevalence of high-powered magnets can lead to significant morbidity. High suspicion, early referral, and removal may lead to improved outcomes.",
keywords = "Button/disc battery, Foreign body ingestion, Magnet",
author = "Bolton, {Scott M.} and Saker, {Martha R Cotsen} and Bass, {Lee M}",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/MOP.0000000000000665",
language = "English (US)",
volume = "30",
pages = "653--659",
journal = "Current Opinion in Pediatrics",
issn = "1040-8703",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

Button battery and magnet ingestions in the pediatric patient. / Bolton, Scott M.; Saker, Martha R Cotsen; Bass, Lee M.

In: Current opinion in pediatrics, Vol. 30, No. 5, 01.01.2018, p. 653-659.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Button battery and magnet ingestions in the pediatric patient

AU - Bolton, Scott M.

AU - Saker, Martha R Cotsen

AU - Bass, Lee M

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Purpose of review Pediatric foreign body ingestion is a common occurrence that presents a challenge both to pediatric gastroenterologists and primary care providers. Increasing prevalence of smaller, more technologically advanced toys in the household has resulted in an increased exposure to higher voltage batteries and powerful magnets that carry a high incidence of morbidity and mortality. This review highlights the latest findings regarding the patients at risk for button battery and magnet ingestions, the symptoms of presentation, and complications of these objects in contributing to long-standing gastrointestinal injury. Recent findings Button batteries may lead to esophageal injury within a few hours. Batteries retained in the esophagus are larger in diameter on average and size is associated with esophageal impaction as well as higher grade esophageal injury. Magnet ingestions, when multiple or with another metallic object, are often initially asymptomatic but may have acute worsening, and therefore warrant close monitoring. Summary Button battery and magnet ingestions have increased in incidence over the past two decades. Recent literature demonstrates that higher voltage, larger lithium button batteries, and prevalence of high-powered magnets can lead to significant morbidity. High suspicion, early referral, and removal may lead to improved outcomes.

AB - Purpose of review Pediatric foreign body ingestion is a common occurrence that presents a challenge both to pediatric gastroenterologists and primary care providers. Increasing prevalence of smaller, more technologically advanced toys in the household has resulted in an increased exposure to higher voltage batteries and powerful magnets that carry a high incidence of morbidity and mortality. This review highlights the latest findings regarding the patients at risk for button battery and magnet ingestions, the symptoms of presentation, and complications of these objects in contributing to long-standing gastrointestinal injury. Recent findings Button batteries may lead to esophageal injury within a few hours. Batteries retained in the esophagus are larger in diameter on average and size is associated with esophageal impaction as well as higher grade esophageal injury. Magnet ingestions, when multiple or with another metallic object, are often initially asymptomatic but may have acute worsening, and therefore warrant close monitoring. Summary Button battery and magnet ingestions have increased in incidence over the past two decades. Recent literature demonstrates that higher voltage, larger lithium button batteries, and prevalence of high-powered magnets can lead to significant morbidity. High suspicion, early referral, and removal may lead to improved outcomes.

KW - Button/disc battery

KW - Foreign body ingestion

KW - Magnet

UR - http://www.scopus.com/inward/record.url?scp=85056462483&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056462483&partnerID=8YFLogxK

U2 - 10.1097/MOP.0000000000000665

DO - 10.1097/MOP.0000000000000665

M3 - Article

C2 - 30188872

AN - SCOPUS:85056462483

VL - 30

SP - 653

EP - 659

JO - Current Opinion in Pediatrics

JF - Current Opinion in Pediatrics

SN - 1040-8703

IS - 5

ER -