Fallberichte: Kinder mit tracheoösophagealer Fistel nach Knopfbatterieningestion

Fremdkörperingestionen bei Kindern nehmen stetig zu – dabei werden u. a. Knopfbatterien sehr häufig verschluckt. Das weitverbreitete Modell CR2032 führt bereits nach kurzer Zeit zu schweren Laugenverätzungen mit möglicher Perforation in benachbarte Organe. Dieser Fallserienbericht stellt 4 Kinder vor, die nach Ingestion von Knopfbatterien eine tracheoösophageale Fistel entwickelten und in unserer Kinderklinik interdisziplinär versorgt wurden.

• Literatur

• 1 Orsagh-Yentis D, McAdams RJ, Roberts KJ. et al. Foreign-body ingestions of young children treated in US Emergency Departments: 1995–2015. Pediatrics 2019; 143: e20181988
• 2 Litovitz T, Whitaker N, Clark L. et al. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010; 125: 1168-1177
• 3 Gummin DD, Mowry JB, Spyker DA. et al. 2016 Annual Report of the American Association of Poison Control Centersʼ National Poison Data System (NPDS): 34th Annual Report. Clin Toxicol (Phila) 2017; 55: 1072-1252
• 4 Wikipedia. Knopfzelle. Dezember 21. Accessed December 09, 2021 at: http://de.wikipedia.org/wiki/Knopfzelle
• 5 Gao Y, Wang J, Ma J. et al. Management of button batteries in the upper gastrointestinal tract of children: A case-series study. Medicine (Baltimore) 2020; 99: e22681
• 6 Karnecki K, Piesniak D, Jankowski Z. et al. Fatal haemorrhage from an aortoesophageal fistula secondary to button battery ingestion in a 15-month-old child. Case report and literature review. Leg Med (Tokyo) 2020; 45: 101707
• 7 Pugmire BS, Lin TK, Pentiuk S. et al. Imaging button battery ingestions and insertions in children: a 15-year single-center review. Pediatr Radiol 2017; 47: 178-185
• 8 Volker J, Volker C, Schendzielorz P. et al. Pathophysiology of esophageal impairment due to button battery ingestion. Int J Pediatr Otorhinolaryngol 2017; 100: 77-85
• 9 Gerner P, Pallacks F, Laschat M. et al. Gesundheitsschäden nach Ingestion von Knopfzellbatterien im Kindesalter. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2019; 62: 1354-1361
• 10 Centers for Disease Control and Prevention. Injuries from batteries among children aged < 13 years – United States, 1995–2010. MMWR Morb Mortal Wkly Rep 2012; 61: 661-666
• 11 Krom H, Visser M, Hulst JM. et al. Serious complications after button battery ingestion in children. Eur J Pediatr 2018; 177: 1063-1070
• 12 Speidel AJ, Wolfle L, Mayer B. et al. Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017. BMC Pediatr 2020; 20: 560
• 13 National Capital Poison Center (NCPC). Fatal Button Battery Ingestions: 68 Reported Cases. 2012–2021. Accessed December 09, 2021 at: http://www.poison.org/battery/fatalcases
• 14 Bundesinstitut für Risikobewertung (BfR). Knopfzellen: Verschlucken kann zu schweren Gesundheitsschäden bei Kleinkindern führen. 23.11.2018.. Accessed December 09, 2021 at: http://www.bfr.bund.de/de/presseinformation/2018/43/knopfzellen__verschlucken_kann_zu_schweren_gesundheitsschaeden_bei_kleinkindern_fuehren-207926.html
• 15 Laulicht B, Traverso G, Deshpande V. et al. Simple battery armor to protect against gastrointestinal injury from accidental ingestion. Proc Natl Acad Sci U S A 2014; 111: 16490-16495
• 16 Eich CB. S2k-AWMF-Leitlinie „Interdisziplinäre Versorgung von Kindern nach Fremdkörperaspiration und Fremdkörperingestion“. 2015. Accessed December 09, 2021 at: http://www.awmf.org/leitlinien/detail/ll/001–031.html
• 17 National Capital Poison Center (NCPC). National Capital Poison Center Button Battery Ingestion Triage and Treatment Guideline. 6/2018. Accessed December 09, 2021 at: http://www.poison.org/battery/guideline
• 18 Hoagland MA, Ing RJ, Jatana KR. et al. Anesthetic implications of the new guidelines for button battery ingestion in children. Anesth Analg 2020; 130: 665-672
• 19 Mubarak A, Benninga MA, Broekaert I. et al. Diagnosis,Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper. J Pediatr Gastroenterol Nutr 2021; 73: 129-136
• 20 Anfang RR, Jatana KR, Linn RL. et al. pH-neutralizing esophageal irrigations as a novel mitigation strategy for button battery injury. Laryngoscope 2019; 129: 49-57
• 21 Schmidt J, Strauss JM, Becke K. et al. Handlungsempfehlung zur Rapid-Sequence-Induction im Kindesalter. Anästh Intensivmed 2007; 48: S88-S93
• 22 Kaufmann J, Grozeva B, Laschat M. et al. Rapid and safe removal of foreign bodies in the upper esophagus in children using an optimized Miller size 3 video laryngoscope blade. Paediatr Anaesth 2021; 31: 587-593
• 23 Goetschi M, Kemper M, Dave MH. et al. Dimensional compatibility of balloon-tipped bronchial blockers with the pediatric airway anatomy using different recommendations for age-related size selection. Paediatr Anaesth 2020; 30: 1245-1253
• 24 Letal M, Theam M. Paediatric lung isolation. BJA Education 2016; 17: 57-62
• 25 Moser B, Kemper M, Dullenkopf A. et al. Simulated dimensional compatibility of uncuffed and cuffed tracheal tubes for selective endobronchial intubation in children. Paediatr Anaesth 2021; 31: 167-177
• 26 Hofmeyr R, Bester K, Willms A. et al. Tracheoesophageal fistula following button battery ingestion in an infant. Anaesthesist 2019; 68: 777-779
• 27 Kurihara C, Walter JM, Karim A. et al. Feasibility of venovenous extracorporeal membrane oxygenation without systemic anticoagulation. Ann Thorac Surg 2020; 110: 1209-1215