Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review
During the SARS-CoV-2 pandemic, the incidence of pediatric button battery (BB) ingestions has risen. Children have spent more time at home from school, while many parents try to balance working from home and childcare. Additionally, the amount of electronics powered by BB has increased. Tracheoesoph...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2022-06, Vol.157, p.111100-111100, Article 111100 |
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| container_title | International journal of pediatric otorhinolaryngology |
| container_volume | 157 |
| creator | Poupore, Nicolas S. Shih, Michael C. Nguyen, Shaun A. Brennan, Emily A. Clemmens, Clarice S. Pecha, Phayvanh P. McDuffie, Lucas A. Carroll, William W. |
| description | During the SARS-CoV-2 pandemic, the incidence of pediatric button battery (BB) ingestions has risen. Children have spent more time at home from school, while many parents try to balance working from home and childcare. Additionally, the amount of electronics powered by BB has increased. Tracheoesophageal fistula (TEF) secondary to a retained aerodigestive BB is a devastating development. Management is challenging, and the clinical timeline of watchful waiting versus surgical intervention for TEF is poorly defined in the literature.
In accordance with PRISMA guidelines, databases searched include PubMed, Scopus, and CINAHL from database date of inception through August 13, 2021. All study designs were included, and no language, publication date, or other restrictions were applied. Case series and reports of TEFs secondary to BBs were included. Clinical risk factors and outcomes were compared between the spontaneous closure and surgical repair groups.
A total of 79 studies with 105 total patients were included. Mortality was 11.4%. There were 23 (21.9%) TEFs that spontaneously closed and 71 (67.6%) that underwent surgical repair. Median time to spontaneous closure compared to surgical repair was significantly different (8.0 weeks [IQR 4.0–18.4] vs. 2.0 weeks [IQR 0.1–3.3], p |
| doi_str_mv | 10.1016/j.ijporl.2022.111100 |
| format | Article |
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In accordance with PRISMA guidelines, databases searched include PubMed, Scopus, and CINAHL from database date of inception through August 13, 2021. All study designs were included, and no language, publication date, or other restrictions were applied. Case series and reports of TEFs secondary to BBs were included. Clinical risk factors and outcomes were compared between the spontaneous closure and surgical repair groups.
A total of 79 studies with 105 total patients were included. Mortality was 11.4%. There were 23 (21.9%) TEFs that spontaneously closed and 71 (67.6%) that underwent surgical repair. Median time to spontaneous closure compared to surgical repair was significantly different (8.0 weeks [IQR 4.0–18.4] vs. 2.0 weeks [IQR 0.1–3.3], p<0.001). Smaller TEFs were more likely to spontaneously close versus being surgically repaired (9.3 mm ± 3.5 vs. 14.9 mm ± 8.3, p=0.022). Duration of symptoms before BB discovery, BB size, time between BB removal and TEF discovery, and location of the TEF were not statistically different between the spontaneous closure and surgical repair groups.
A TEF secondary to BB ingestion is a potentially deadly complication. Timing of reported TEF spontaneous closure varies significantly. While smaller TEFs may be amenable to healing without surgical repair, no other significant factors were identified that may be associated with spontaneous closure. If clinical status permits, these data suggest a period of observation of at least 8 weeks prior to surgical intervention may be practical for many BB-induced TEFs.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2022.111100</identifier><identifier>PMID: 35523610</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Button battery ; Child ; COVID-19 ; Electric Power Supplies - adverse effects ; Humans ; Retrospective Studies ; SARS-CoV-2 ; Spontaneous closure ; Surgical repair ; Tracheoesophageal fistula ; Tracheoesophageal Fistula - etiology ; Tracheoesophageal Fistula - surgery</subject><ispartof>International journal of pediatric otorhinolaryngology, 2022-06, Vol.157, p.111100-111100, Article 111100</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-f3a4762c71c6ae7d79e51d08f9cce6e896659121540070be75ddb55dee3edbef3</citedby><cites>FETCH-LOGICAL-c362t-f3a4762c71c6ae7d79e51d08f9cce6e896659121540070be75ddb55dee3edbef3</cites><orcidid>0000-0002-6907-488X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587622000611$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35523610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Poupore, Nicolas S.</creatorcontrib><creatorcontrib>Shih, Michael C.</creatorcontrib><creatorcontrib>Nguyen, Shaun A.</creatorcontrib><creatorcontrib>Brennan, Emily A.</creatorcontrib><creatorcontrib>Clemmens, Clarice S.</creatorcontrib><creatorcontrib>Pecha, Phayvanh P.</creatorcontrib><creatorcontrib>McDuffie, Lucas A.</creatorcontrib><creatorcontrib>Carroll, William W.</creatorcontrib><title>Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>During the SARS-CoV-2 pandemic, the incidence of pediatric button battery (BB) ingestions has risen. Children have spent more time at home from school, while many parents try to balance working from home and childcare. Additionally, the amount of electronics powered by BB has increased. Tracheoesophageal fistula (TEF) secondary to a retained aerodigestive BB is a devastating development. Management is challenging, and the clinical timeline of watchful waiting versus surgical intervention for TEF is poorly defined in the literature.
In accordance with PRISMA guidelines, databases searched include PubMed, Scopus, and CINAHL from database date of inception through August 13, 2021. All study designs were included, and no language, publication date, or other restrictions were applied. Case series and reports of TEFs secondary to BBs were included. Clinical risk factors and outcomes were compared between the spontaneous closure and surgical repair groups.
A total of 79 studies with 105 total patients were included. Mortality was 11.4%. There were 23 (21.9%) TEFs that spontaneously closed and 71 (67.6%) that underwent surgical repair. Median time to spontaneous closure compared to surgical repair was significantly different (8.0 weeks [IQR 4.0–18.4] vs. 2.0 weeks [IQR 0.1–3.3], p<0.001). Smaller TEFs were more likely to spontaneously close versus being surgically repaired (9.3 mm ± 3.5 vs. 14.9 mm ± 8.3, p=0.022). Duration of symptoms before BB discovery, BB size, time between BB removal and TEF discovery, and location of the TEF were not statistically different between the spontaneous closure and surgical repair groups.
A TEF secondary to BB ingestion is a potentially deadly complication. Timing of reported TEF spontaneous closure varies significantly. While smaller TEFs may be amenable to healing without surgical repair, no other significant factors were identified that may be associated with spontaneous closure. If clinical status permits, these data suggest a period of observation of at least 8 weeks prior to surgical intervention may be practical for many BB-induced TEFs.</description><subject>Button battery</subject><subject>Child</subject><subject>COVID-19</subject><subject>Electric Power Supplies - adverse effects</subject><subject>Humans</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Spontaneous closure</subject><subject>Surgical repair</subject><subject>Tracheoesophageal fistula</subject><subject>Tracheoesophageal Fistula - etiology</subject><subject>Tracheoesophageal Fistula - surgery</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3DAQhq0KVLa0b1AhH7lkazuxnXBAQgjaSki90LPl2BPWqyRePA4Vb1-jAEd8mYO_mV__R8h3zraccfVjvw37Q0zjVjAhtrw8xj6RDW-1qNpGNUdkUzBZyVarE_IFcc8Y10zKz-SkllLUirMNwZsnOy42h_mB5h3Qyc72ASaYM81hgjHMQONAc7JuBxEwHnbl3450CJiX0SJFcHH2Nj3THGm_5Bxn2tucIQXAC3pF8RkzTCXC0QRPAf59JceDHRG-vc5T8vf25v76V3X35-fv66u7ytVK5GqobaOVcJo7ZUF73YHknrVD5xwoaDulZMcFlw1jmvWgpfe9lB6gBt_DUJ-S8_XuIcXHBTCbKaCDcbQzxAWNUEVBqzteF7RZUZciYoLBHFKYSinDmXnRbfZm1W1edJtVd1k7e01Y-gn8-9Kb3wJcrgCUnqV7MugCzA58SOCy8TF8nPAfzZ6VuQ</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Poupore, Nicolas S.</creator><creator>Shih, Michael C.</creator><creator>Nguyen, Shaun A.</creator><creator>Brennan, Emily A.</creator><creator>Clemmens, Clarice S.</creator><creator>Pecha, Phayvanh P.</creator><creator>McDuffie, Lucas A.</creator><creator>Carroll, William W.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6907-488X</orcidid></search><sort><creationdate>202206</creationdate><title>Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review</title><author>Poupore, Nicolas S. ; Shih, Michael C. ; Nguyen, Shaun A. ; Brennan, Emily A. ; Clemmens, Clarice S. ; Pecha, Phayvanh P. ; McDuffie, Lucas A. ; Carroll, William W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-f3a4762c71c6ae7d79e51d08f9cce6e896659121540070be75ddb55dee3edbef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Button battery</topic><topic>Child</topic><topic>COVID-19</topic><topic>Electric Power Supplies - adverse effects</topic><topic>Humans</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><topic>Spontaneous closure</topic><topic>Surgical repair</topic><topic>Tracheoesophageal fistula</topic><topic>Tracheoesophageal Fistula - etiology</topic><topic>Tracheoesophageal Fistula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Poupore, Nicolas S.</creatorcontrib><creatorcontrib>Shih, Michael C.</creatorcontrib><creatorcontrib>Nguyen, Shaun A.</creatorcontrib><creatorcontrib>Brennan, Emily A.</creatorcontrib><creatorcontrib>Clemmens, Clarice S.</creatorcontrib><creatorcontrib>Pecha, Phayvanh P.</creatorcontrib><creatorcontrib>McDuffie, Lucas A.</creatorcontrib><creatorcontrib>Carroll, William W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poupore, Nicolas S.</au><au>Shih, Michael C.</au><au>Nguyen, Shaun A.</au><au>Brennan, Emily A.</au><au>Clemmens, Clarice S.</au><au>Pecha, Phayvanh P.</au><au>McDuffie, Lucas A.</au><au>Carroll, William W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2022-06</date><risdate>2022</risdate><volume>157</volume><spage>111100</spage><epage>111100</epage><pages>111100-111100</pages><artnum>111100</artnum><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>During the SARS-CoV-2 pandemic, the incidence of pediatric button battery (BB) ingestions has risen. Children have spent more time at home from school, while many parents try to balance working from home and childcare. Additionally, the amount of electronics powered by BB has increased. Tracheoesophageal fistula (TEF) secondary to a retained aerodigestive BB is a devastating development. Management is challenging, and the clinical timeline of watchful waiting versus surgical intervention for TEF is poorly defined in the literature.
In accordance with PRISMA guidelines, databases searched include PubMed, Scopus, and CINAHL from database date of inception through August 13, 2021. All study designs were included, and no language, publication date, or other restrictions were applied. Case series and reports of TEFs secondary to BBs were included. Clinical risk factors and outcomes were compared between the spontaneous closure and surgical repair groups.
A total of 79 studies with 105 total patients were included. Mortality was 11.4%. There were 23 (21.9%) TEFs that spontaneously closed and 71 (67.6%) that underwent surgical repair. Median time to spontaneous closure compared to surgical repair was significantly different (8.0 weeks [IQR 4.0–18.4] vs. 2.0 weeks [IQR 0.1–3.3], p<0.001). Smaller TEFs were more likely to spontaneously close versus being surgically repaired (9.3 mm ± 3.5 vs. 14.9 mm ± 8.3, p=0.022). Duration of symptoms before BB discovery, BB size, time between BB removal and TEF discovery, and location of the TEF were not statistically different between the spontaneous closure and surgical repair groups.
A TEF secondary to BB ingestion is a potentially deadly complication. Timing of reported TEF spontaneous closure varies significantly. While smaller TEFs may be amenable to healing without surgical repair, no other significant factors were identified that may be associated with spontaneous closure. If clinical status permits, these data suggest a period of observation of at least 8 weeks prior to surgical intervention may be practical for many BB-induced TEFs.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>35523610</pmid><doi>10.1016/j.ijporl.2022.111100</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-6907-488X</orcidid></addata></record> |
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| ispartof | International journal of pediatric otorhinolaryngology, 2022-06, Vol.157, p.111100-111100, Article 111100 |
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| subjects | Button battery Child COVID-19 Electric Power Supplies - adverse effects Humans Retrospective Studies SARS-CoV-2 Spontaneous closure Surgical repair Tracheoesophageal fistula Tracheoesophageal Fistula - etiology Tracheoesophageal Fistula - surgery |
| title | Evaluating the management timeline of tracheoesophageal fistulas secondary to button batteries: A systematic review |
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