TY - JOUR PY - 2020// TI - Disk battery ingestion: a simple user-guide JO - Reviews on recent clinical trials A1 - Petruzziello, Carmine A1 - Soave, Paolo Maurizio SP - ePub EP - ePub VL - ePub IS - ePub N2 - INTRODUCTION: Disk Battery Ingestion (DBI) is a cause of access to the emergency department (ED), especially in pediatric age. This problem, if not well managed, may lead to serious injuries, with several complications involving the gastrointestinal and respiratory tract. OBJECTIVE: Aim of this review is to analyze the literature of the last 25 years to make a decisional flow-chart that may help the emergency physician. METHODS: For this review 36 articles have been analyzed (8 articles and 28 case reports), from 1995 to 2019. Data considered from each study were: year of publication, type of study, population studied, type of battery, timing of ingestion, treatment, outcomes, complications. RESULTS: A decisional flow-chart has been configured. X-ray should be performed as a first step in every stable patient, meanwhile CT scan should be performed in unstable patients. When the battery is still localized in the esophagus, endoscopy should be performed as soon as possible, meanwhile, when the battery is beyond the esophagus, it should be noted its diameter before taking a decision. CONCLUSION: The use of the flow-chart proposed may reduce the risk of consequences and severe injuries for the patients, helping the emergency physician in his decisional process.

Language: en

LA - en SN - 1574-8871 UR - http://dx.doi.org/10.2174/1574887115666200603163448 ID - ref1 ER -