ORIGINAL ARTICLE A Review of Esophageal Disc Battery Ingestions and a Protocol for Management Stanley J. Kimball, DO; Albert H. Park, MD; Michael D. Rollins II, MD; Johannes Fredrik Grimmer, MD; Harlan Muntz, MD Objective: To review our experience with esophageal (n = 2). One of these patients had an extensive injury that disc battery requiring endoscopic retrieval and describe extended into the trachea resulting in a tracheoesopha- a protocol for management. geal fistula. Two case reports are presented, outlining the management approach to esophageal perforations from Design: Retrospective medical chart review. esophageal battery ingestion. Patients: Pediatric patients who underwent endo- Conclusions: Severe injury can occur rapidly follow- scopic retrieval of an esophageal disc battery over a 10- ing disc battery ingestion. A high index of suspicion for year period. an esophageal disc battery is necessary to expeditiously diagnose this condition. Emergency endoscopic re- Results: Ten pediatric patients had ingested an esoph- moval is necessary. We outline a protocol for the man- ageal disc battery that required endoscopic removal. Three agement of this hazardous problem. patients had minimal esophageal damage; the other 7 sus- tained severe and extensive esophageal damage involv- ing the muscularis (n = 5) or developed
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Sep 1, 2010
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