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16-07-2022 | Endoscopy | Original Article

Button Battery Ingestion in Children (PilBouTox®): A Prospective Study Describing the Clinical Course and Identifying Factors Related to Esophageal Impaction or Severe Cases

Authors: Magali Labadie, Jules-Antoine Vaucel, Arnaud Courtois, Patrick Nisse, Marion Legeay, Chantal Medernach, Anne-Marie Patat, Katharina Von Fabeck, Jean-Christophe Gallart, Christine Tournoud, Emmanuel Puskarczyk, French PCC Research Group

Published in: Dysphagia | Issue 1/2023

Abstract

In this study, we aimed to identify the factors related to esophageal impaction following button battery (BB) ingestion in children. PilBouTox, a prospective multicentric observational cohort study, was conducted from French Poison Control Centers between June 1, 2016 and May 31, 2018. Children (0–12 years old) with BB ingestion were included. After ingestion, patients were monitored for 21 days or more if they remained symptomatic (maximum 1 year). Causes of ingestion, clinical manifestations, medical management, and the outcomes were recorded. In total, 415 patients were included; among them, 35 had esophageal impaction and 14 had severe complications or died. Seven symptoms were closely related (relative risk (RR) > 30) to esophageal impaction: anorexia, drooling, dyspnea, fever, hemodynamic instability, pallor, and pain. Furthermore, BBs > 15 mm were related to esophageal impaction (RR = 19, CI_95% [4.1; 88]). The absence of initial symptoms was a protective factor for esophageal impaction (RR = 0.013, CI_95% [0.002; 0.1]). Nine symptoms were closely related (RR > 30) to major effects and death: dyspnea, cough, dysphagia, drooling, fever, hemodynamic instability, pain, pallor, and vomiting. Seven symptoms were related to esophageal impaction and their rapid recognition could help to ensure that the patient is taken to a health care facility. Nine factors were related to the major effects of BB ingestion. We recommended an X-ray as soon as possible to determine the position of the BB.

Trial Registry: Clinical Trial ID: NCT03708250, https://clinicaltrials.gov/ct2/show/NCT03708250

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Title: Button Battery Ingestion in Children (PilBouTox®): A Prospective Study Describing the Clinical Course and Identifying Factors Related to Esophageal Impaction or Severe Cases
Authors: Magali Labadie
Jules-Antoine Vaucel
Arnaud Courtois
Patrick Nisse
Marion Legeay
Chantal Medernach
Anne-Marie Patat
Katharina Von Fabeck
Jean-Christophe Gallart
Christine Tournoud
Emmanuel Puskarczyk
French PCC Research Group
Publication date: 16-07-2022
Publisher: Springer US
Keywords: Endoscopy
Vomiting
Care
Dysphagia
Dysphagia
Dysphagia
Published in: Dysphagia / Issue 1/2023
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-022-10485-7

At a glance: The STEP trials

Springer Medicine

Button Battery Ingestion in Children (PilBouTox®): A Prospective Study Describing the Clinical Course and Identifying Factors Related to Esophageal Impaction or Severe Cases

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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