Surgical management protocol for disk battery ingestion
Topic overview
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.
Key takeaways
- 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.
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How to cite: GlobalCastMD. Surgical management protocol for disk battery ingestion. GlobalCastMD Medical Library. 2024-10-09. https://dev.library.globalcastmd.com/article/9271?via_space=staycurrentmd
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