A review of esophageal disc battery ingestions and a protocol for management.

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.

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