Ingestion d’une pile bouton compliquée d’une fistule œso-aortique fatale. Proposition d’un algorithme de prise en charge chez l’enfant de moins de 6ans

Nisse, Patrick; Lampin, Marie Emilie; Aubry, E.; Cixou, Emmanuel; Mathieu-Nolf, M.

doi:10.1016/j.lpm.2016.07.016

Cited by 10 publications

(2 citation statements)

References 34 publications

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“…before the onset of necrotic lesions, would enable a favorable evolution [5] [19]. It should be noted that esotracheal fistula is the cause of additional manifestations, namely false alimentary routes, with their corollary of inhalation bronchopneumopathy and almost permanent, urgent coughing [19] [20] [21].…”

Section: Discussionmentioning

confidence: 99%

Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Diallo,

Gouéta,

Camara

et al. 2024

IJOHNS

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Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado Ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%).The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p < 0.05). Iatrogenic trauma was noted in 3.3% of cases. Nasogastric tube placement was indicated in 58.2%. Complications were dominated by ulcero-necrotic lesions (42.9%). The average length of hospitalization was 3 days. Sequelae were dominated by esophageal stenosis (5.5%). Lethality was 1.1%. Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.

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Section: Discussionmentioning

confidence: 99%

Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Diallo,

Gouéta,

Camara

et al. 2024

IJOHNS

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“…The role of surgery after ingestion of LB is mainly reported as an emergent attempt in patients presenting with massive bleeding [10][11][12] or for the treatment of complications such as esophageal perforation, 13 TEF, 14,15 or esophageal stenosis, whereas surgical successful removal of batteries after a failed endoscopic approach is not reported in the literature.…”

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confidence: 99%

Esophageal Retained Lithium Battery in Children Younger than 6 Years

Lisi

Illiceto²,

Romeo

et al. 2018

Pediatr Emer Care

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Objectives Disk battery esophageal retention in children younger than 6 years represents an increasing endoscopic emergency, followed by a relevant risk of life-threatening late complications. Surgical removal after a failed endoscopic approach is rarely reported in the literature. We describe our experience in this scenario. Methods Two female asymptomatic patients aged 26 and 29 months presented within 4 hours after a witnessed ingestion of a 2-cm, 3-V lithium battery (CR2032) retained in the cervical esophagus. Both patients underwent a prolonged unsuccessful emergent endoscopic removal with a flexible instrument performed by an adult gastroenterologist. Both batteries fused with the esophageal wall were extracted through a longitudinal left cervical esophagotomy combined with minimal resection of necrotic tissues and repaired over a 12F feeding tube. Results Patients were extubated after 12 and 72 hours, respectively. Contrast study was performed after 20 and 13 days, respectively, before resuming oral feeding. At endoscopy, the first patient developed a 3-cm-long severe esophageal stenosis (35th day), followed by an asymptomatic tracheoesophageal fistula (60th day), which was conservatively treated. After spontaneous resolution of the tracheoesophageal fistula, esophageal stenosis progressed, partially responsive to esophageal stenting. Short esophagectomy is under evaluation. The second patient developed an asymptomatic limited stenosis, not requiring dilatation. Conclusions The emergent management of lithium battery ingestion needs a structured timely multidisciplinary approach in the emergency department, an experienced pediatric endoscopist, and a simultaneous engagement of pediatric surgical expertise, even in patients who do not show bleeding, to reduce esophageal exposure time to high-voltage current released by batteries, which represents the main factor conditioning tissue damage and prognosis.

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Lésions de l’œsophage provoquées par l’ingestion de pile bouton chez l’enfant : analyse des causes et proposition de mesures préventives

Lahmar

Celerier

et al. 2018

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Ingestion d’une pile bouton compliquée d’une fistule œso-aortique fatale. Proposition d’un algorithme de prise en charge chez l’enfant de moins de 6ans

Cited by 10 publications

References 34 publications

Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Esophageal Retained Lithium Battery in Children Younger than 6 Years

Lésions de l’œsophage provoquées par l’ingestion de pile bouton chez l’enfant : analyse des causes et proposition de mesures préventives

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