{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:52Z","timestamp":1740126832504,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Objectives\u2003While complications from battery ingestion can be severe, especially with the emergence of stronger battery elements, not all ingestions require prompt removal. We aim to evaluate a symptom-focused algorithm for battery ingestion that emphasizes observation over intervention to investigate its safety.<\/jats:p><jats:p>Materials and Methods\u2003Patients were identified through a query of foreign-body ingestion radiographs obtained between 2017 and 2020. A retrospective chart review was then performed of all patients who presented with button battery ingestions to identify compliance with our algorithm, overall outcomes, and complications.<\/jats:p><jats:p>Results\u2003In total, 2% of all radiographs (44\/2,237) demonstrated button battery ingestions. The median age of patients was 3.8 years (interquartile range, 2.6\u20135.3). Most batteries were found in the stomach (64%, n\u2009=\u200928), but were also identified in the esophagus (14%, n\u2009=\u20096), small bowel (14%, n\u2009=\u20096), and colon (9%, n\u2009=\u20094). All esophageal batteries were managed with immediate endoscopic retrieval. Ten gastric batteries were not managed per protocol, with seven admitted for observation despite being asymptomatic and repeat abdominal X-rays demonstrating persistent gastric location of the battery. Four patients underwent esophagogastroduodenoscopy; however, in two patients the battery had migrated past the stomach prior to intervention. All small bowel batteries and three of four asymptomatic colon batteries were managed per protocol; one patient had additional imaging that demonstrated battery passage.<\/jats:p><jats:p>Conclusion\u2003Adherence to a symptom-focused protocol for conservative management of button battery ingestions beyond the gastroesophageal junction is safe and frequently does not require admission, serial imaging, or intervention.<\/jats:p>","DOI":"10.1055\/s-0041-1740537","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T01:28:13Z","timestamp":1639704493000},"page":"002-008","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of a Symptom-Based Algorithm for Managing Battery Ingestions in Children"],"prefix":"10.1055","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5768-8438","authenticated-orcid":false,"given":"James A.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla B.","family":"Briggs","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy Jo","family":"Svetanoff","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Attard","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"},{"name":"Department of Gastroenterology, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tolulope A.","family":"Oyetunji","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn D.","family":"St Peter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,16]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1542\/peds.2009-3037","article-title":"Emerging battery-ingestion hazard: clinical implications","volume":"125","author":"T 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