Korean J Anesthesiol.  2011 Sep;61(3):257-261. 10.4097/kjae.2011.61.3.257.

Compromised ventilation caused by tracheoesophageal fistula and gastrointestinal endoscope undergoing removal of disk battery on esophagus in pediatric patient -A case report-

• Kim KW
• Kim JY
• Kim JW
• Park JS
• Choe WJ
• Kim KT
• Lee S

• KMID: 2031317
• DOI: http://doi.org/10.4097/kjae.2011.61.3.257

Abstract

Ingestion of disk batteries may have serious complications such as esophageal burn, perforation, and tracheoesophageal fistula, particularly when the battery is caught in the esophagus. Proper placement of the tracheal tube is critical when tracheoesophageal fistula was occurred from esophageal impaction the battery. Endoscopy of upper gastrointestinal tract in infants and children is an important and effective tool for the diagnosis and treatment of foreign body ingestion. But upper gastrointestinal endoscopy in infant and children has very high risk of tracheal compression and airway compromise. We present a case of ventilatory compromise during insertion of the upper gastrointestinal endoscopy in 16-month-old child with tracheoesophageal fistula secondary to disk battery ingestion.

Keyword

Disk battery ingestion; Gastrointestinal endoscopy; Tracheoesophageal fistula; Ventilatory compromise

MeSH Terms

Burns
Child
Eating
Endoscopes, Gastrointestinal
Endoscopy
Endoscopy, Gastrointestinal
Esophagus
Foreign Bodies
Humans
Infant
Tracheoesophageal Fistula
Upper Gastrointestinal Tract
Ventilation