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- Title
Endoscopic Findings and Correlation with Outcome in Oesophagal Battery Button Ingestion in Children.
- Authors
Khoso, Muhammad Salman; Saeed, Anjum; Anjum, Muhammad Nadeem; Fayyaz, Zafar; Alvi, Muhammad Arshad; Rehman, Hiba Kokab Hooria
- Abstract
Objective: To determine the endoscopic findings and its correlation with outcome in oesophageal battery button ingestion in children. Study Design: Cross sectional study. Place and Duration of study: Department of Paediatric Gastroenterology, Hepatology, Children's Hospital and University of Child Health Sciences, Lahore Pakistan, from Jul 2021 to Jun 2022. Methodology: We recruited children with button battery ingestion over a period of one year. Data of the patients' demographics, symptoms, time from ingestion to admission, oesophagal location and size of the battery, grade of mucosal injury, management, complications, and follow-up outcome were recorded. Results: Forty-one children with a mean age of 3.6±1.76 years (range: 1-9 years) were enrolled over one year. The most common site of battery impaction was the lower end of the oesophagus (22, 53.7%). The median time from ingestion to admission was 7.2 hours, with vomiting and chest pain being the most common admission symptoms noted in 24 (58.5%) cases. According to Zargar's classification, Grade II mucosal injury was most frequent in 21 (51.2%) patients, followed by Grade III in 11 (26.8%) children, and 9 (22%) cases developed oesophagal strictures later on. Regarding the size of the battery, we could measure the diameter, and the median was 18.0 mm (range, 18-20 mm). Three patients had severe complications other than strictures, in one case each (2.4%), and these children could not survive and died due to complications of fistula s and massive bleeding. Conclusion: Button-battery ingestion is a frequently noticed problem in developing countries like Pakistan. Immediate recognition and endoscopic removal are necessary for oesophagal battery button ingestion to avoid long-term morbidity.
- Subjects
PAKISTAN; LAHORE (Pakistan); INGESTION; CHILDREN'S hospitals; PEDIATRIC gastroenterology; CHEST pain; HEMOPHILIACS
- Publication
Pakistan Armed Forces Medical Journal, 2024, Vol 74, Issue 2, p549
- ISSN
0030-9648
- Publication type
Article
- DOI
10.51253/pafmj.v74i2.9601