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Surgical management protocol for disk battery ingestion.

Arianna Roggero1,2, Vittorio Guerriero3,4, Federica Lena3,5

  • 1Pediatric Surgery Department, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy. arianna.roggero@gmail.com.

Pediatric Surgery International
|October 9, 2024
PubMed
Summary

Managing pediatric disk battery (DB) ingestion requires a multidisciplinary team and specialized protocol to prevent fatal complications like aortoesophageal fistulas. This approach ensures patient survival and recovery.

Keywords:
Complication disk battery ingestionDisk battery ingestionProtocol

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Area of Science:

  • Pediatric Gastroenterology
  • Surgical Management
  • Medical Device Complications

Background:

  • Disk battery (DB) ingestion in children poses significant risks, including severe complications and mortality.
  • Previous cases highlight the potential for life-threatening conditions such as aortoesophageal fistulas.

Purpose of the Study:

  • To detail the experience and outcomes of managing pediatric disk battery ingestion and its complications.
  • To evaluate the effectiveness of a multidisciplinary management protocol established in 2010.

Main Methods:

  • Retrospective analysis of patients treated for DB ingestion between June 2010 and January 2024.
  • Implementation of a protocol involving angio-CT scans for esophageal DBs and a multidisciplinary team approach.
  • Endoscopic removal of all ingested disk batteries.

Main Results:

  • Twenty-two patients were treated, with all surviving the ingestion and its complications.
  • Four patients required additional surgical interventions, including tracheal resection and esophageal repair for tracheoesophageal fistulas, aortic wall reinforcement, and exploration of the aortic arch.
  • One patient experienced bilateral vocal cord palsy as a complication.

Conclusions:

  • A collaborative, multidisciplinary approach is crucial for effectively managing complications arising from pediatric disk battery ingestion.
  • The established protocol has demonstrably improved patient outcomes and management strategies for this critical condition.