Button Battery Ingestion
Button batteries that have passed the esophagus can be managed expectantly, as long as follow-up in 24 hours can be assured. Repeat films should be obtained at 48 hours to ensure that the cell has passed through the pylorus (which may not occur if the battery is of large diameter and/or the patient is <6 years old).
Sharp Objects
Proximal to pylorus = PES
Distal to pylorus = Daily film follow-up
Indication for surgical intervention: >3 days without passage, signs of intestinal injury (pain, emesis, fever, GI bleeding)