Complications owing to oesophageal impaction of button batteries and risk factors in children in China: a review.

IF 1.4 4区医学 Q3 PEDIATRICS Paediatrics and International Child Health Pub Date : 2024-12-11 DOI:10.1080/20469047.2024.2438585

Manlin Zeng, Jing Huang, Lianming Liao, Ying Chen

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引用次数: 0

Abstract

Background: Impaction of button batteries (BB) in children is not rare.

Aim: To conduct a systematic review of reports of oesophageal injury caused by impaction of BB in children in China.

Methods: The databases of Wanfang, VIP, China National Knowledge Internet, the Chinese Medical Association Journal and PubMed were searched for reports by Chinese authors of BB impaction published between May 2005 and July 2023. The risk factors for complications were analysed by multiple unconditional logistic regression.

Results: After excluding 95 articles which did not meet the criteria, 77 remained, with a total of 964 cases of BB impaction. Of 516 cases with complications, 402 were in children (77.9%). The most common complications were oesophageal erosions and ulceration (218/402, 54.2%), followed by oesophageal perforation (88/402, 21.1%), tracheo-oesophageal fistula (69/402, 17.2%), oesophageal stricture (38/402, 9.5%) and peri-oesophagitis (31/402, 7.7%). Regression analysis demonstrated that the duration and location of impaction were the risk factors for complications (OR 13.7 and 11.3, respectively; p < 0.05 for both).

Conclusion: BB impaction remains common and causes serious oesophageal complications in children. Widespread knowledge of the risks is essential for prevention.

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中国儿童纽扣电池食管嵌塞并发症及危险因素综述

背景：儿童钮扣电池（BB）撞击并不罕见。目的：对中国儿童BB撞击致食管损伤的报道进行系统回顾。方法：检索《万方》、《维普》、中国知识网、《中华医学会会刊》和PubMed数据库，检索2005年5月~ 2023年7月发表的中国作者关于BB撞击的报道。采用多元无条件logistic回归分析并发症发生的危险因素。结果：排除95篇不符合标准的文献后，剩下77篇，共964例BB嵌塞。516例并发症中，儿童402例（77.9%）。最常见的并发症是食管糜烂和溃疡（218/402,54.2%），其次是食管穿孔（88/402,21.1%）、气管-食管瘘（69/402,17.2%）、食管狭窄（38/402,9.5%）和食管周围炎（31/402,7.7%）。回归分析显示，嵌塞时间和位置是并发症发生的危险因素(OR分别为13.7和11.3；结论：BB嵌塞在儿童中仍然很常见，并引起严重的食管并发症。广泛了解这些风险对预防至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics and International Child Health PEDIATRICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Paediatrics and International Child Health is an international forum for all aspects of paediatrics and child health in developing and low-income countries. The international, peer-reviewed papers cover a wide range of diseases in childhood and examine the social and cultural settings in which they occur. Although the main aim is to enable authors in developing and low-income countries to publish internationally, it also accepts relevant papers from industrialised countries. The journal is a key publication for all with an interest in paediatric health in low-resource settings.