Journal List > Korean J Pediatr Gastroenterol Nutr > v.10(2) > 1110185

Korean J Pediatr Gastroenterol Nutr. 2007 Sep;10(2):147-156. Korean.
Published online Sep 30, 2007.  https://doi.org/10.5223/kjpgn.2007.10.2.147
Copyright © 2007 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Comparison of Endoscopic Removal of Disk Batteries in Children
Jung Ok Kim, Eun Hui Hong, Byung Ho Choe, Min Hyun Cho, Hye Eun Seo, Hae Ri Lim, Mi Ae Chu, Su Kyeong Hwang, Sun Min Park, Suk Jin Hong, Ye Jee Shim and Byung Ho Choi
Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.
Abstract

PURPOSE

Any battery impacted in the esophagus must be removed urgently because of the possibility of serious complications such as perforation, fistula, and mediastinitis. The use of endoscopic procedures was compared to find the most rapid, effective, and safe method to remove disk batteries.

METHODS

The cases of 24 children (9 males, mean age, 1.5 years) that had accidentally ingested disk batteries were reviewed. The patients had visited the Department of Pediatrics, Kyungpook National University Hospital from July 1997 to June 2007 for the removal of disk batteries. Endoscopic removal was attempted using a retrieval net or a magnetic extractor with a balloon (condom). The procedure times for removing the ingested battery were compared.

RESULTS

Children that ingested batteries with a larger diameter (20 mm) had a greater chance to have esophageal impaction with serious injury, such as esophageal mucosal necrosis or ulcers, as compared to the ingestion of smaller diameter batteries (10 mm) (p<0.01). Endoscopic removal of disk batteries was attempted either using a retrieval net in 10 children or by using a magnetic extractor with a balloon in 6 children. Endoscopic removal using a retrieval net was more effective (mean procedure time: 1.5 min) as compared to using a magnetic extractor with a balloon (mean procedure time: 3.3 min) (p<0.05).

CONCLUSION

Both procedures, either using a retrieval net or a magnetic extractor with a balloon were effective in removing ingested disk batteries. Based on our experience, an endoscopic procedure using a retrieval net was a more effective method for foreign body removal.

Keywords: Disk battery; Foreign body; Endoscopy; Esophagus; Children