Han Han (pseudonym), a 4-year-old child in Jiangsu, recently came to the Shanghai Children's Medical Center affiliated to Shanghai Jiao Tong University School of Medicine for help due to accidental ingestion of button batteries, and was removed by medical staff using colonoscopy technology to overcome the danger.
On May 18, Han Han's grandparents bought vegetables, Han Han "stayed at home alone", and when he returned home, he found that the original 5 button batteries on the table were only 3, and the other 2 could not be found everywhere. In a hurry, the two elderly people informed Han Han's parents and sent the child to the local hospital for treatment. After imaging examination - 2 batteries have "arrived" in the small intestine! Doctors told parents that once the battery is broken and alkaline chemicals leak, it will burn the gastrointestinal mucosa, cause bleeding, and even perforation, with unimaginable consequences. Since the battery is located in the small intestine, gastroscopic technique has become powerless and requires surgery.
In a hurry, parents rushed to Shanghai Children's Medical Center overnight. After further localization by the Department of Gastroenterology, it was confirmed that the battery was stuck in the blind position at the junction of the small intestine and the colon, where the mucous membrane wall was thin and easy to perforate, and it must be treated as soon as possible.
The Department of Gastroenterology and General Surgery of the Pediatric Center immediately set up a joint working group to study treatment options. In the past, surgery was first considered in such cases, but because the battery was located close to the colon, the team intended to try colonoscopic minimally invasive extraction. Because the battery is a circular structure and smooth appearance, it adds great difficulty to colonoscopy operation, even if the battery is "caught", it is difficult to ensure that the long colon can be dragged out smoothly. Eventually, the working group decided to use the "snare" commonly used in polypectomy. After the calm cooperation of medical care, the two batteries were "obediently hooked" and removed from the body. When removed, the battery has been corroded, and chemicals may leak at any time, but fortunately the danger is eliminated in time.
According to the statistics of the gastrointestinal endoscopy room of Shanghai Children's Medical Center, almost every day, children who swallow foreign bodies by mistake come to "pick up objects". Experts remind parents that one of the important ways for young children to recognize the world is to "eat", and accidental swallowing and eating often causes serious harm to children. Therefore, parents must pay attention to the care of children's behavior, do a good job in prevention, and avoid accidental injuries.
Author: Shanghai Radio reporter Lu Chunlu
Editor: Chen Li Responsible Editor: Huang Lina