TY  - JOUR
PY  - 2010//
TI  - A review of esophageal disc battery ingestions and a protocol for management
JO  - Archives of otolaryngology-head and neck surgery
A1  - Kimball, Stanley J.
A1  - Park, Albert H.
A1  - Rollins, Michael D.
A1  - Grimmer, Johannes Fredrik
A1  - Muntz, Harlan
SP  - 866
EP  - 871
VL  - 136
IS  - 9
N2  - OBJECTIVE: To review our experience with esophageal disc battery requiring endoscopic retrieval and describe a protocol for management. DESIGN: Retrospective medical chart review. PATIENTS: Pediatric patients who underwent endoscopic retrieval of an esophageal disc battery over a 10-year period. RESULTS: Ten pediatric patients had ingested an esophageal disc battery that required endoscopic removal. Three patients had minimal esophageal damage; the other 7 sustained severe and extensive esophageal damage involving the muscularis (n = 5) or developed a perforation (n = 2). One of these patients had an extensive injury that extended into the trachea resulting in a tracheoesophageal fistula. Two case reports are presented, outlining the management approach to esophageal perforations from esophageal battery ingestion. CONCLUSIONS: Severe injury can occur rapidly following disc battery ingestion. A high index of suspicion for an esophageal disc battery is necessary to expeditiously diagnose this condition. Emergency endoscopic removal is necessary. We outline a protocol for the management of this hazardous problem.<p />  <p>Language: en</p>
LA  - en
SN  - 0886-4470
UR  - http://dx.doi.org/10.1001/archoto.2010.146
ID  - ref1
ER  -