title: Button Battery Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions.
abstract: Gastrointestinal injuries secondary to button battery ingestions in children have emerged as a dangerous and difficult management problem for pediatricians. Implementation of a multidisciplinary team approach, with rapid and coordinated care, is paramount to minimize the risk of negative outcomes. In addition to providing a comprehensive review of the topic, this article outlines the authors' referral center's experience with patients with severe battery ingestion, highlighting the complications, outcomes, and important lessons learned from their care. The authors also propose an algorithm for clinical care that may be useful for guiding best management of pediatric button battery ingestion.
authors.affiliation: Department of Pediatrics, Digestive Health Institute, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, B290, Aurora, CO 80045, USA.
authors.forename: Kristina
authors.initials: K
authors.lastname: Leinwand
authors.affiliation: Department of Pediatrics, Digestive Health Institute, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, B290, Aurora, CO 80045, USA.
authors.forename: David E
authors.initials: DE
authors.lastname: Brumbaugh
authors.affiliation: Department of Pediatrics, Digestive Health Institute, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, B290, Aurora, CO 80045, USA. Electronic address: Robert.Kramer@childrenscolorado.org.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Kramer
mesh_terms: D000465:Algorithms; D002675:Child, Preschool; D011211:Electric Power Supplies; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D004947:Esophagus / Q000293:injuries* / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000401:mortality / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D010348:Patient Care Team; D061665:Time-to-Treatment; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery
keywords: Aortoesophageal fistula; Button battery ingestion; Caustic ingestion; Esophageal stricture; Foreign body ingestion; Gastrointestinal hemorrhage; MRI; Pediatric