Acquired tracheoesophageal fistula following disc-battery ingestion: Can we watch and wait?

Grisel, Jedidiah J.; Richter, Gresham T.; Casper, Keith; Thompson, Dana M.

doi:10.1016/j.ijporl.2008.01.015

Cited by 41 publications

(35 citation statements)

References 19 publications

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“…1,2,4,9,14,17,18 A BB causes superficial necrosis in 15 min, which can extend into the trachea within 1 h. Perforations occur frequently after 8 h of lodgment at a specific site. 8,[18][19][20] Burns from a BB become severe 2-2.5 h after ingestion, and burning may continue after BB removal from the esophagus. 2,10,17 Tissue injury, fistula, or scarring may develop several weeks after BB removal due to residual alkali or weakened tissues, and most cases of perforation are detected postoperatively and not during the initial esophagoscopy.…”

Section: Discussionmentioning

confidence: 99%

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The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

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792utton battery (BB) lodgment in the esophagus has the potential for serious complications compared with other foreign bodies, and is an increasingly prevalent ingestion injury in children because it has parThe Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The outcomes of button battery lodgment in the esophagus in children can be life threatening. Management of this injury after button battery removal is controversial. The aim of the present study was to compare the relevant studies in the literature with our experience of cases with a button battery lodged in the esophagus. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This retrospective study was conducted in all individuals who were referred for ingestion of a foreign body and who underwent eosophagoscopy at the Department of Pediatric Surgery between January 2007 and May 2012. Each operative report was reviewed to determine whether a button battery was present. Cases with a button battery lodged in the esophagus were reviewed regarding patient characteristics, clinical presentation, management strategy, outcome, and button battery features. R Re es su ul lt ts s: : Sixteen patients (10 males, six females; age, 2-99 months; mean age, 34.81±25.23 months) were admitted due to a button battery lodged in the esophagus. The majority of patients were aged <6 years. The time to diagnosis was between 1 h and 7 days. Ingestion of the button battery by ~4 4% of the patients was not witnessed. The majority of button batteries were lodged in the proximal esophagus (43.7%). Eight patients had esophageal injuries at various stages. Six patients had a normal esophagus. Two patients developed a tracheoesophageal fistula and both died. The mean duration of hospitalization was 6.8 days. C Co on nc cl lu us si io on ns s: : A button battery lodged in the esophagus in children is an urgent condition. In such cases, urgent endoscopic removal and a close follow up is required. K Ke ey y W Wo or rd ds s: : Child; burns; esophagus, foreign bodies; deglutition Ö ÖZ ZE ET T A Am ma aç ç: : Özofagusa takılı kalan düğme pilin çocuklarda hayati tehlikesi olabilir. Özofagustan düğme pil çıkarıldıktan sonraki yaralanmanın tedavisi halen tartışmalıdır. Bu çalışmanın amacı, özo-fagusa takılı kalan düğme pil vakalarımızdaki tecrübelerimizi literatürdeki ilgili çalışmalar ile karşılaştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu retrospektif çalışma, Ocak 2007-Mayıs 2012 tarihleri arasında yabancı cisim yutma nedeniyle çocuk cerrahisi kliniğine kabul edilen ve ösofagoskopi uygulanan tüm bireylerde yapıldı. Her ameliyat raporu, hastada düğme pil mevcut olup olmadığını belirlemek amacıyla gözden geçirildi. Özofagusta düğme pil takılı olan olgular, hastanın özellikleri, klinik bulguları, tedavi şekli, sonuçları ve düğme pilin özellikleri açısından değerlendirildi. B Bu ul lg gu ul la ar r: : On altı hasta (10 erkek, altı kız; yaş 2-99 ay; ortalama yaş 34,81±25,...

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Section: Discussionmentioning

confidence: 99%

“…1,2,24 The time required for conservative treatment may be 6-8 months. 15,19 However, some authors have stated that a TEF related to a battery lodged in the esophagus will heal spontaneously. 24 In the present study, we used conservative therapy in two patients with a TEF; however, their general condition deteriorated.…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

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“…3). [11] The chest radiograph may also reveal features of complications of ingestion, such as pneumothorax and pneumomediastinum, [4,8,13] lung field infiltrates [9] and proximal oesophageal dilatation, as described in case 2 above. If there is evidence of complications, there may be value in doing further studies such as a contrast swallow examination [8] or a CT scan.…”

Section: Diagnosis and Investigationmentioning

confidence: 94%

“…Oesophageal perforation can occur, [8] and the battery can then go on to erode into surrounding structures. The literature describes a wide range of complications, including aortooesophageal fistula, [9,10] which commonly presents as a herald bleed followed by a fatal upper gastrointestinal bleed, bilateral vocal cord paralysis, [9] tracheo-oesophageal fistula, [11] commonly presenting as aspiration pneumonia, oesophageal necrosis [6] and oesophageal stenosis. [5,6] …”

Section: Pathologymentioning

confidence: 99%

“…[12,13] Clues that one may be dealing with a button battery rather than a coin may be found on the lateral film, where one side of the battery is perfectly flat while the other is convex, [13] and one may see the 'step-off ' sign, which refers to the 'step' between the battery and its casing. [11] In addition, on a well-exposed film there is a rim of lucency on the inside edge of the battery, [13] also known as the 'halo' sign (Fig. 3).…”

Section: Diagnosis and Investigationmentioning

confidence: 99%

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