Association between the corrosion of ingested lithium button battery in the esophagus and its complications in pediatric patients

Purpose The incidence of lithium button battery ingestion has been increasing recently, which results in severe complications. We aimed to demonstrate the association between the corrosion of lithium button batteries in the esophagus on radiographs and their complications. Methods The nine pediatric...

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Veröffentlicht in:Emergency radiology 2022-06, Vol.29 (3), p.455-460
Hauptverfasser: Hosokawa, Takahiro, Tanami, Yutaka, Sato, Yumiko, Yoshida, Masashi, Ebana, Ryo, Hara, Tomoko, Nambu, Ryusuke, Iwama, Itaru, Oguma, Eiji
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container_end_page 460
container_issue 3
container_start_page 455
container_title Emergency radiology
container_volume 29
creator Hosokawa, Takahiro
Tanami, Yutaka
Sato, Yumiko
Yoshida, Masashi
Ebana, Ryo
Hara, Tomoko
Nambu, Ryusuke
Iwama, Itaru
Oguma, Eiji
description Purpose The incidence of lithium button battery ingestion has been increasing recently, which results in severe complications. We aimed to demonstrate the association between the corrosion of lithium button batteries in the esophagus on radiographs and their complications. Methods The nine pediatric patients included in this study were classified into two groups based on the presence of severe complications. The presence and degree of corrosion on plain radiographs were evaluated. The degree of corrosion was classified into the following three grades; none: 0%; moderate: 1–50%; severe: 51–100%. Fisher’s exact test was used for statistical analyses. Results Of the nine patients, five showed complications. The number of patients who had grade none, moderate, and severe degrees of corrosion was three, four, and two, respectively. The incidence of severe complications differed significantly between the incidence of lithium button batteries’ contour (without vs. with severe complications [presence/absence of corrosion] = 1/3 vs. 5/0, respectively; P = 0.0476). In cases with “none” degree of corrosion, all three cases had no complication, and in cases with a “severe” degree of corrosion, all two cases had complications. Conclusion The cases with the presence of corrosion of lithium button batteries had a higher tendency to have severe complications. Therefore, physicians should anticipate the presence of severe complications in pediatric patients with corrosion more than those without corrosion.
doi_str_mv 10.1007/s10140-022-02033-5
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We aimed to demonstrate the association between the corrosion of lithium button batteries in the esophagus on radiographs and their complications. Methods The nine pediatric patients included in this study were classified into two groups based on the presence of severe complications. The presence and degree of corrosion on plain radiographs were evaluated. The degree of corrosion was classified into the following three grades; none: 0%; moderate: 1–50%; severe: 51–100%. Fisher’s exact test was used for statistical analyses. Results Of the nine patients, five showed complications. The number of patients who had grade none, moderate, and severe degrees of corrosion was three, four, and two, respectively. The incidence of severe complications differed significantly between the incidence of lithium button batteries’ contour (without vs. with severe complications [presence/absence of corrosion] = 1/3 vs. 5/0, respectively; P = 0.0476). In cases with “none” degree of corrosion, all three cases had no complication, and in cases with a “severe” degree of corrosion, all two cases had complications. Conclusion The cases with the presence of corrosion of lithium button batteries had a higher tendency to have severe complications. Therefore, physicians should anticipate the presence of severe complications in pediatric patients with corrosion more than those without corrosion.</description><identifier>ISSN: 1070-3004</identifier><identifier>EISSN: 1438-1435</identifier><identifier>DOI: 10.1007/s10140-022-02033-5</identifier><identifier>PMID: 35182254</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Child ; Corrosion ; Electric Power Supplies - adverse effects ; Emergency Medicine ; Esophagus ; Esophagus - diagnostic imaging ; Foreign Bodies - complications ; Foreign Bodies - diagnostic imaging ; Humans ; Imaging ; Ingestion ; Lithium ; Medicine ; Medicine &amp; Public Health ; Original Article ; Pediatrics ; Physicians ; Radiographs ; Radiology ; Statistical analysis</subject><ispartof>Emergency radiology, 2022-06, Vol.29 (3), p.455-460</ispartof><rights>American Society of Emergency Radiology 2022</rights><rights>2022. 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We aimed to demonstrate the association between the corrosion of lithium button batteries in the esophagus on radiographs and their complications. Methods The nine pediatric patients included in this study were classified into two groups based on the presence of severe complications. The presence and degree of corrosion on plain radiographs were evaluated. The degree of corrosion was classified into the following three grades; none: 0%; moderate: 1–50%; severe: 51–100%. Fisher’s exact test was used for statistical analyses. Results Of the nine patients, five showed complications. The number of patients who had grade none, moderate, and severe degrees of corrosion was three, four, and two, respectively. The incidence of severe complications differed significantly between the incidence of lithium button batteries’ contour (without vs. with severe complications [presence/absence of corrosion] = 1/3 vs. 5/0, respectively; P = 0.0476). 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We aimed to demonstrate the association between the corrosion of lithium button batteries in the esophagus on radiographs and their complications. Methods The nine pediatric patients included in this study were classified into two groups based on the presence of severe complications. The presence and degree of corrosion on plain radiographs were evaluated. The degree of corrosion was classified into the following three grades; none: 0%; moderate: 1–50%; severe: 51–100%. Fisher’s exact test was used for statistical analyses. Results Of the nine patients, five showed complications. The number of patients who had grade none, moderate, and severe degrees of corrosion was three, four, and two, respectively. The incidence of severe complications differed significantly between the incidence of lithium button batteries’ contour (without vs. with severe complications [presence/absence of corrosion] = 1/3 vs. 5/0, respectively; P = 0.0476). In cases with “none” degree of corrosion, all three cases had no complication, and in cases with a “severe” degree of corrosion, all two cases had complications. Conclusion The cases with the presence of corrosion of lithium button batteries had a higher tendency to have severe complications. Therefore, physicians should anticipate the presence of severe complications in pediatric patients with corrosion more than those without corrosion.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35182254</pmid><doi>10.1007/s10140-022-02033-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9523-4077</orcidid></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Child
Corrosion
Electric Power Supplies - adverse effects
Emergency Medicine
Esophagus
Esophagus - diagnostic imaging
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Humans
Imaging
Ingestion
Lithium
Medicine
Medicine & Public Health
Original Article
Pediatrics
Physicians
Radiographs
Radiology
Statistical analysis
title Association between the corrosion of ingested lithium button battery in the esophagus and its complications in pediatric patients
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