Mirshemirani AliReza, Khaleghnejad-Tabari Ahmad, Kouranloo Jaefar, Sadeghian Naser, Rouzrokh Mohsen, Roshanzamir Fatolah, Razavi Sajad, Sayary Ali Akbar, Imanzadeh Farid
Pediatric Surgery Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Pediatric Intensive Care Unit, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Middle East J Dig Dis. 2012 Apr;4(2):107-10.
BACKGROUND The purpose of this study was to evaluate the characteristics, management, and outcomes of disc battery ingestion in children. METHODS We reviewed the medical records of children admitted to Mofid Children's Hospital due to disc battery ingestion from January 2006 to January 2010. Clear history, clinical symptoms and results of imaging studies revealed diagnosis of disc battery ingestion in suspected patients. The clinical data reviewed included age, gender, clinical manifestation, radiologic findings, location of disc battery, duration of ingestion, endoscopic results and surgical treatment. RESULTS We found 22 cases (11 males and 11 females) of disc battery ingestion with a mean age of 4.3 years (range: 9 months to 12 years). Common symptoms were vomiting, cough, dysphagia, and dyspnea. The mean duration of ingestion was 2.7 days (4 hours to 1.5 months). A total of 19 patients had histories of disc battery ingestion, but three cases referred with the above symptoms, and the batteries were accidentally found by x-ray. Only three cases had batteries impacted in the esophagus. Twelve batteries were removed endoscopically, 6 batteries spontaneously passed through the gastrointestinal (GI) tract within 5 to 7 days, and 4 patients underwent surgery due to complications: 3 due to tracheo-esophageal fistula (TEF) and 1 due to intestinal perforation. There was no mortality in our study. CONCLUSION Most cases of disc battery ingestion run uneventful courses, but some may be complicated. If the battery lodges in the esophagus, emergency endoscopic management is necessary. However, once in the stomach, it will usually pass through the GI tract.
背景 本研究的目的是评估儿童吞食纽扣电池的特征、处理方法及结果。方法 我们回顾了2006年1月至2010年1月因吞食纽扣电池而入住莫菲德儿童医院的儿童的病历。明确的病史、临床症状及影像学检查结果揭示了疑似患者吞食纽扣电池的诊断。所回顾的临床资料包括年龄、性别、临床表现、放射学检查结果、纽扣电池位置、吞食时间、内镜检查结果及手术治疗情况。结果 我们发现22例（男11例，女11例）吞食纽扣电池的病例，平均年龄为4.3岁（范围：9个月至12岁）。常见症状为呕吐、咳嗽、吞咽困难及呼吸困难。平均吞食时间为2.7天（4小时至1.5个月）。共有19例患者有吞食纽扣电池的病史，但3例因上述症状就诊，经X线意外发现纽扣电池。仅3例纽扣电池嵌顿于食管。12例纽扣电池经内镜取出，6例纽扣电池在5至7天内自行通过胃肠道，4例患者因并发症接受手术治疗：3例因气管食管瘘，1例因肠穿孔。本研究中无死亡病例。结论 大多数吞食纽扣电池的病例病程平稳，但部分病例可能出现并发症。如果电池嵌顿于食管，紧急内镜处理是必要的。然而，一旦进入胃内，通常会通过胃肠道。
