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Letters to the Editor
April 18, 2011

Hemorrhagic Complications Following Esophageal Button Battery Ingestion

Author Affiliations

Author Affiliations: Department of Pediatrics, University of Colorado Denver School of Medicine (Drs Brumbaugh and Kramer), and Digestive Health Institute, The Children's Hospital (Drs Brumbaugh and Kramer), Aurora, Colorado; and National Capital Poison Center, Washington, DC (Dr Litovitz).

Arch Otolaryngol Head Neck Surg. 2011;137(4):416. doi:10.1001/archoto.2011.36

We read with great interest the article by Kimball et al,1 who reviewed a series involving 10 children with esophageal button batteries. The authors indicate that the problem of button battery ingestion has worsened because of the increased use of battery-powered electronic devices. While the ubiquity of button batteries presents a danger to children, a recent review of National Poison Data System data failed to demonstrate a consistent increase in the frequency of reported button battery ingestions over the past 25 years.2 Instead, a 6.7-fold increase in severity of injury was noted over this same period: the result of increased use of larger-diameter, more-powerful 3-V lithium batteries in consumer electronics.

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