Citation

Kimball SJ, Park AH, Rollins MD, Grimmer JF, Muntz H. Arch. Otolaryngol. Head Neck Surg. 2010; 136(9): 866-871.

Affiliation

University of Utah School of Medicine, Division of Otolaryngology-Head and Neck Surgery, 50 N Medical Dr, 3C 120, Salt Lake City, UT 84132. pcapark@ihc.com.

Copyright

(Copyright © 2010, American Medical Association)

DOI

10.1001/archoto.2010.146

PMID

20855678

Abstract

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.

Language: en