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

A Review of Esophageal Disc Battery Ingestions and a Protocol for Management 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archoto.2010.146
pmid
20855678
Publisher site
See Article on Publisher Site

Abstract

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

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Sep 1, 2010

References

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