PDF(Pubmed)
Abstract：
A coin cell lithium battery is a common foreign body that can become lodged in the pediatric pharyngoesophageal junction. Because the voltage of such batteries is relatively high, their rapid removal is necessary to avoid mucosal necrosis. Despite being the initial choice for removal, flexible endoscopy cannot remove such foreign bodies from the esophagus. Various removal methods, including rigid esophagoscopy, should be considered for removing lithium coin cell batteries. The transcervical approach is feasible for removing esophageal foreign bodies, but it carries the risk of complications such as esophageal stenosis. Here we report a case of lithium coin battery ingestion that was successfully removed using a rigid esophagoscope. A 2-year-old girl was referred to a local doctor with cough and general fatigue. Chest X-ray and flexible endoscopy revealed a coin cell lithium battery stuck in the pharyngoesophageal junction, but it could not be removed. The foreign body was removed using Nishihata forceps through a rigid esophagoscope under general anesthesia.
摘要：
纽扣电池锂电池是一种常见的异物，可能会滞留在小儿咽食管交界处。由于这种电池的电压相对较高，它们的快速去除是必要的，以避免粘膜坏死。尽管是移除的最初选择，柔性内窥镜无法从食道中取出这些异物。各种去除方法，包括硬性食管镜检查，应该考虑去除锂纽扣电池。经颈入路切除食管异物是可行的，但它有并发症的风险，如食管狭窄。在这里，我们报告了一例使用刚性食道镜成功清除了锂硬币电池摄入的情况。一名2岁女孩因咳嗽和全身疲劳被转诊至当地医生。胸部X光和柔性内窥镜检查显示纽扣电池锂电池卡在咽食管交界处，但它不能被删除。在全身麻醉下，使用Nishihata镊子通过刚性食管镜取出异物。
