title: A review of esophageal disc battery ingestions and a protocol for management.
abstract: OBJECTIVE
  To review our experience with esophageal disc battery requiring endoscopic retrieval and describe a protocol for management.
  
  
  METHODS
  Retrospective medical chart review.
  
  
  METHODS
  Pediatric patients who underwent endoscopic retrieval of an esophageal disc battery over a 10-year period.
  
  
  RESULTS
  Ten pediatric patients had ingested an esophageal disc battery that required endoscopic removal. Three patients had minimal esophageal damage; the other 7 sustained severe and extensive esophageal damage involving the muscularis (n = 5) or developed a perforation (n = 2). One of these patients had an extensive injury that extended into the trachea resulting in a tracheoesophageal fistula. Two case reports are presented, outlining the management approach to esophageal perforations from esophageal battery ingestion.
  
  
  CONCLUSIONS
  Severe injury can occur rapidly following disc battery ingestion. A high index of suspicion for an esophageal disc battery is necessary to expeditiously diagnose this condition. Emergency endoscopic removal is necessary. We outline a protocol for the management of this hazardous problem.
authors.affiliation: Department of General Surgery, Mount Carmel Health System, Columbus, Ohio, USA.
authors.forename: Stanley J
authors.initials: SJ
authors.lastname: Kimball
authors.forename: Albert H
authors.initials: AH
authors.lastname: Park
authors.forename: Michael D
authors.initials: MD
authors.lastname: Rollins
authors.forename: Johannes Fredrik
authors.initials: JF
authors.lastname: Grimmer
authors.forename: Harlan
authors.initials: H
authors.lastname: Muntz
mesh_terms: D002648:Child; D002675:Child, Preschool; D004435:Eating; D011211:Electric Power Supplies; D004939:Esophageal Perforation / Q000209:etiology / Q000628:therapy; D004945:Esophagoscopy; D004947:Esophagus / Q000293:injuries; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male