Disc Batteries Can Cause Severe Esophageal Damage

Article reviews cases involving ingested batteries in children, offers protocol for managing cases
By Eric Metcalf
HealthDay Reporter

TUESDAY, Sept. 21 (HealthDay News) -- Ingestion of disc batteries can cause severe injury among pediatric patients and require emergency endoscopic retrieval, according to research published in the September issue of the Archives of Otolaryngology -- Head & Neck Surgery.

Stanley J. Kimball, D.O., of the Mount Carmel Health System in Columbus, Ohio, and colleagues discuss the outcomes of 10 pediatric patients -- ranging in age from 9.5 months to 9.5 years -- who ingested disc batteries that required endoscopic retrieval over a 10-year period.

One patient had no injury and two had only superficial mucosal injury. The rest of the patients had more extensive esophageal damage. Two of the more injured patients had esophageal perforation, which in one case resulted in a tracheoesophageal fistula. Two patients had a substantially delayed diagnosis, one at seven days after ingestion and one at 30 days. The authors review the two perforation cases in more detail and provide a recommended protocol for managing esophageal disc batteries.

"In conclusion, severe injury can occur rapidly following disc battery ingestion. A high index of suspicion for a disc battery is necessary to avoid life-threatening sequelae. Emergency endoscopic retrieval is required in these situations," the authors conclude. "A multidisciplinary approach involving otolaryngology and pediatric surgery can be very helpful, especially when a tracheoesophageal fistula and/or uncontained perforation is identified."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events