A Review of Esophageal Disc Battery Ingestions and a Protocol for Management

作者：Kimball Stanley J^*; Park Albert H; Rollins Michael D II; Grimmer Johannes Fredrih; Muntz Harlan

来源：Archives of Otolaryngology - Head and Neck Surgery, 2010, 136(9): 866-871.

DOI：10.1001/archoto.2010.146

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.

• 出版日期2010-9