FOREIGN BODY GI TRACT
2.5 year old boy came to emergency with h/o foreign body (disk battery from a tv remote) ingestion. Luckily the boy told the parents about the incidence. They brought him straight to BLK emergency. X ray confirmed the presence of disk battery in stomach. He was shifted to endoscopy soon and it was removed with Roth net under mild sedation. Child was sent back home within 3 hours. There was no surrounding mucosal injury as it was removed timely.
It is crucial to remove a battery from GI tract as soon as possible as degradation of battery may lead to caustic injury. The risk is highest if it is stuck in esophagus. As a result esophageal button battery is the most critical indication of emergent endoscopy in children. The injury to mucosa is due to the release of hydroxide radicals resulting in a caustic injury from high pH instead of electrical thermal injury.
Dr. Deepak Goel
Dr. Deepak Goyal, a Pediatric Gastroenterologist with extensive post-MD experience of more than 15 years that includes super-specialty training in ‘Pediatric Hepatology & Gastroenterology’ (MCI-recognized) at SGPGIMS, Lucknow, has managed various kinds of complicated Pediatric Gastroenterology, Hepatology & Liver Transplant Cases.
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