Button Battery Ingestion Clinical Practice Guidelines: An APSA Quality and Safety Committee Appraisal

jpedsurg.org

Expeditious endoscopic retrieval of esophageal button batteries is crucial to minimize injury and associated complications [1, 2]. As such, the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) have authored recommendations for their removal “immediately” and within 2 hours of presentation, respectively [1, 2]. Standardization of clinical management of button battery ingestion has been shown to decrease time to removal, reduce unnecessary imaging studies, and improve patient triage [3].

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Article · Mar 2026 · 1 min read

In brief

This APSA Quality and Safety Committee appraisal reviews clinical practice guidelines for button battery ingestion management, emphasizing the critical need for immediate endoscopic removal within 2 hours to prevent esophageal injury. Standardized protocols have demonstrated improved outcomes through reduced removal times and optimized patient triage.

Esophageal button batteries require immediate endoscopic removal to prevent severe tissue injury and complications.
NASPGHAN recommends immediate removal; ESPGHAN recommends removal within 2 hours of presentation.
Standardized clinical protocols reduce time to removal, decrease unnecessary imaging, and improve patient triage.

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