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Review
. 2024 Oct 9;40(1):268.
doi: 10.1007/s00383-024-05849-z.

Surgical management protocol for disk battery ingestion

Arianna Roggero  1   2 , Vittorio Guerriero  3   4 , Federica Lena  3   5 , Serena Arrigo  6 , Francesco Santoro  7 , Roberto D'Agostino  8 , Maria Beatrice Damasio  9 , Francesca Rizzo  9 , Paolo Gandullia  6 , Andrea Moscatelli  10 , Girolamo Mattioli  3 , Michele Torre  3   4
Affiliations
Review

Surgical management protocol for disk battery ingestion

Arianna Roggero et al. Pediatr Surg Int. .

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.

Keywords: Complication disk battery ingestion; Disk battery ingestion; Protocol.

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