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Battery-induced Esophageal Foreign Body Injury, Complications and Treatment Outcome

DOI: 
10.7727/wimj.2015.401

ABSTRACT

Objective: We aimed to assess the severity caused by button batteries in esophagus.

Methods: Thirty two patients admitted with ingesting button batteries were retrospectively evaluated. Chest x-ray was ordered for diagnosis. Hospital stays, interventions , complications and mortality of the patients were collected. The time between the patients ingested the buton battery and its removal was defined as its duration in esophagus. All the patients underwent rigid esophagoscopy under general anasthesia. Buton batteries at the first narrowing were removed by magyl clamp.

Results: 21 of 32 patients were female, with a mean age of 22 months. The mean duration of ingestion was 17 hours. The mean hospital stay was 10 days. Of the patients, 75%  were admitted within 24 hours. Complication rate was 19% and mortality rate was 6%. There was a strong correlation among the number of the cases and the coming years (p<0.001). Linear regression test was used in the number of cases and the duration (p<0.001). It was found significant that much more cases (90%) admitted in the last 12 years compared with the number in first 12 years (p<0.001). There were no complication in cases in which the buton battery was impacted in esophagus for less than 24 hours, however, 8 cases whose duration was more than 24 hours resulted complicating in 6 patients and fatal in 2 patients (p<0.001).  

Conclusion: Batteries should be removed upon its diagnosis. Otherwise, the injury to occur in the esophageal mucosa by delay can cause increase in morbidity and mortality.

Accepted: 
25 Nov, 2015
PDF Attachment: 
e-Published: 04 Apr, 2016

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