Fluoroscopic removal of ingested alkaline batteries

Area of Science:

• Pediatric Gastroenterology
• Medical Device Technology
• Radiology

Background:

• Ingestion of disc batteries by pediatric patients presents a significant medical emergency.
• Battery leakage or disintegration can lead to severe gastrointestinal complications, including perforation.
• Timely and effective removal is crucial to prevent life-threatening outcomes.

Purpose of the Study:

• To describe a fluoroscopic technique for the removal of ingested disc batteries from the stomach in pediatric patients.
• To highlight the utility of an orogastric tube, magnet, and Foley catheter in this procedure.

Main Methods:

• A case series detailing the fluoroscopic-guided removal of six ingested disc batteries.
• Utilized an orogastric tube with a magnet for initial battery retrieval.
• Employed a Foley catheter for secondary retrieval and confirmation of removal.

Main Results:

• Successful retrieval of all six ingested disc batteries from the stomach in a pediatric patient.
• The described method proved effective in managing disc battery ingestion.
• No immediate complications were reported during or after the removal procedure.

Conclusions:

• Fluoroscopic removal using an orogastric tube, magnet, and Foley catheter is a viable and effective method for managing pediatric disc battery ingestion.
• This technique offers a minimally invasive approach to a potentially critical condition.
• Early intervention and appropriate tools are essential for favorable outcomes in cases of battery ingestion.