Xu Shuqin,Gai Jingci,Zhang Zhixuan,et al.Literature analysis of digestive tract injury caused by button batteries swallowed by mistake in children[J].Journal of Clinical Pediatric Surgery,,21():591-597.[doi:10.3760/cma.j.cn101785-202103037-018]
Literature analysis of digestive tract injury caused by button batteries swallowed by mistake in children
- Keywords:
- Button Battery; Foreign Bodies; Gastrointestinal Tract/IN; Therapy; Child
- Abstract:
- Objective To explore the diagnosis and treatment of gastrointestinal injury caused by button battery ingestion in children through a literature analyis.Methods Through searching the databases of WanFang, VIP and CNKI, all Chinese reports of ingestion of button batteries as foreign bodies published from May 2009 to December 2019 were collected.The research contents included age, gender, region, clinical manifestations, complications, diagnoses and treatments.Results After a detailed review of all retrievals, 2 articles with repeated reports and 6 articles with unclear data were excluded.Finally 48 articles were included for systematic analysis and 508 cases of accidental button batteries ingested in 19 provinces collected.There were 142 boys and 80 girls.A total of 82 cases were identified with specific age information.The mean age was (26±17) months.The most common location of button battery incarceration was esophagus (47.44%).Serious complications included perforation of digestive tract (including tracheoesophageal fistula, n=73), esophageal stenosis of varying degrees (n=20) and death (n=5).Conclusion For button batteries as foreign bodies in digestive tract, radiographic imaging examination is preferred.According to different parts of button battery retention, endoscopic removal, natural excretion or surgical exploration is selected.
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Memo
收稿日期:2021-03-21。
基金项目:国家自然科学基金项目(81700545);陕西省创新能力支撑计划(2020KJXX—022);中央高校基本科研业务费专项资金(xjj2018jchz14);西安交通大学大学生创新训练项目(GJ202010698102)
通讯作者:严小鹏,Email:yanxiaopeng99@163.com