Citation

Jatana KR, Chao S, Jacobs IN, Litovitz T. Otolaryngol. Clin. North Am. 2019; 52(1): 149-161.

Affiliation

National Capital Poison Center, 3201 New Mexico Avenue Northwest #310, Washington, DC 20016, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.otc.2018.08.009

PMID

30309675

Abstract

The pediatric button battery (BB) hazard has been recognized for several decades. In 2012, the National Button Battery Task Force was established, and most manufacturers have improved warning labels, more secure packaging, and made BB compartments in products are more secure. Tissue neutralization before BB removal (ie, honey or sucralfate/Carafate®) is an effective way to reduce the rate of BB injury. In absence of visible perforation, 0.25% sterile acetic acid esophageal tissue irrigation at time of BB removal is recommended as a neutralization strategy to mitigate injury progression. Future BB design changes could eliminate esophageal tissue injury.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

Keywords

Button battery; Coin cell battery; Disc battery; Esophageal; Foreign body; Injury prevention