In Reply.—

The guidelines for management of battery ingestion presented by Mofenson et al certainly exhibit compromise between those physicians who advocate immediate removal of all batteries1,2 and those who essentially advocate "cautious observation only"3 one the battery is to the stomach. Since our article4 was submitted in July 1982, several additional case reports have come to our attention.3 Five of these cases involved a battery that lodged in the eosphagus. All patients in this group experienced significant if not fatal complications.

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