Surgical management protocol for disk battery ingestion
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Oct 2024 · 1 min read
In brief
In brief
This study presents a 14-year protocol for managing disk battery ingestion in children, developed after a fatal aortoesophageal fistula case. The multidisciplinary approach includes angio-CT imaging and coordinated surgical teams, achieving 100% survival across 22 cases despite severe complications requiring complex repairs.
- Angio-CT scan is essential for all esophageal disk battery cases to detect vascular injury before endoscopic removal.
- Multidisciplinary team (GI, ENT, pediatric/airway/cardiac surgery) improves outcomes in complicated disk battery ingestions.
- Aortoesophageal fistula is a life-threatening complication requiring immediate surgical intervention and vascular repair.
- Early protocol implementation (endoscopy + imaging + surgical standby) achieved 100% survival in 22 consecutive cases.
- Tracheoesophageal fistula may require tracheal resection/anastomosis and esophageal repair after battery removal.
Written by the GCMD Library team from the article.
Abstract
Purpose
Disk battery (DB) ingestion in children can lead to severe complications and mortality. This study details our experience in managing DB ingestion and its complications.
Methods
We analyzed data from all patients treated for DB ingestion at our hospital from June 2010 to January 2024. A protocol established in 2010 requires angio-CT scans for esophageal DB cases and a multidisciplinary approach involving gastroenterologists, otolaryngologists, pediatric and airway surgeons, and cardiac surgeons.
Results
We treated 22 patients. In June 2010, following the tragic death of a patient from an undiagnosed DB ingestion that led to an aortoesophageal fistula, our protocol was established. All DBs were removed endoscopically. Four patients needed additional surgery: two had tracheal resection/anastomosis and esophageal repair for large tracheoesophageal fistulas; one required aortic wall reinforcement with a patch; one underwent endoscopic removal with a sternal split to explore the aortic arch. All 22 patients survived and recovered clinically. One developed bilateral vocal cord palsy as a complication.
Conclusion
Effective management of DB ingestion complications necessitates a collaborative, multidisciplinary approach. Our protocol has improved management strategies and patient outcomes.