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| Analysis of clinical features and risk state of children with esophageal button-battery impaction |
| DUAN Qingchuan WANG Guixiang WANG Hua LIU Zhiyong LIU Yuwei LI Hongbin YANG Xiaojian ZHAO Jing ZHANG Jie▲ |
| 1.Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, Capital Medical University National Center for Children′s Health, Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, 100045 Beijing, China |
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Abstract Objective To analyze the clinical features of 28 children with esophageal foreign body due to button-battery ingestion in order to guide the clinical work in these situation. Methods Clinical data of 28 children with esophageal foreign body due to button-battery ingestion in Department of Otorhinolaryngology Head and Neck Surgery of the Beijing Children′s Hospital, Capital Medical University from March 2016 to March 2019 were retrospectively analyzed, the age, impaction time, symptoms and complications of children were analyzed. Results There were 21 boys and 7 girls with a median age of 19 months were included, the median esophageal impaction time was 7.5 h. The most common symptoms were vomiting (10 cases) and dysphagia (9 cases). 24 cases (85.7%) were diagnosed with X-ray, while 3 cases (10.7%) were diagnosed with endoscopy, the other one was diagnosed with CT scan. Batteries of all children were taken out underwent surgery and given nasogastric tube until 2 to 4 weeks after sugery. The average time from chidren presentation to removal of the battery was 2 h (range of 1 to 5 h). Most batteries (19 cases, 67.9%) were impacted at the upper portion of the esophagus, followed by the lower portion (6 cases, 21.4%), and only 3 cases were at the middle portion. The median hospital stay was 7 d (range of 2 to 21 d). 3 cases (10.7%) had tracheoesophageal fistula. 2 cases of them recovered with effective treatment and one died. The median age and impaction time between children with and without complication had no statistics significant difference (P > 0.05). The median of hospital stay of children with complication was longer than the children without complication, the difference was highly statistically significant (P ＜ 0.01). Conclusion Children with esophageal button-battery impaction should be taken into emergent operation to get rid of the battery and indwelling gastric tube, close observation is necessary for monitoring and managing the complications.
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