Çocuklarda özofagus yerleþimli disk pil yutmalarý

AMAÇ: Özofagusta takýlý kalan disk piller yüksek morbidite ve mortalite riskine sahiptir. Bu çalýþmada, kliniðimizde özofagus yerleþimli disk pil nedeniyle tedavi edilen hastalar sunuldu, erken taný ve tedavinin önemi vurgulandý.
GEREÇ VE YÖNTEM: Ocak 2010–Mayýs 2015 tarihleri arasýnda yabancý cisim yutma nedeniyle baþvuran hastalar geriye dönük olarak incelendi. Özofagusta takýlý kalan piller çalýþmaya dahil edildi. Hastalar yaþ, cinsiyet, baþvuru süresi, baþvuru semptomlarý, pilin yerleþim ve boyutu, uygulanan tedavi ve seyir açýsýndan incelendi.
BULGULAR: Yabancý cisim yutma ile baþvuran 1891 olgunun 71’inde yabancý cisim özofagusta yerleþimliydi. Yetmiþ bir özefageal yabancý cismin sekizi disk pildi (%11.2). Ortalama yaþ 1.7 yýl idi. Baþvuru süresi beþ olguda ilk altý saat, iki olguda 24 saat sonra, bir olguda bir ay sonra idi. Bir hasta dýþýnda hastalarýn tümünde yabancý cisim yutma öyküsü vardý. Tüm hastalarda pil endoskopik yolla çýkartýldý. Üç hastada dilatasyonlara yanýt veren özofageal striktür geliþti.
TARTIÞMA: Özofagusta takýlý kalan disk piller acil olarak tanýnýp çýkartýlmalýdýr. Uzun süren solunum ve gastrointestinal sistem semptomlarý olan hastalarýn ayýrýcý tanýsýnda özofageal yerleþimli disk pil akýlda tutulmalýdýr.

Esophageal button battery ingestion in children

BACKGROUND: Button battery lodged in the esophagus carries a high risk of morbidity and mortality. The purpose of this study was to present cases of patients with esophageal button battery ingestion treated at our clinic and to emphasize the importance of early diagnosis and treatment.
METHODS: Records of patients admitted to our hospital for foreign body ingestion between January 2010 and May 2015 were retrospectively reviewed. Cases with button battery lodged in the esophagus were included in the study. Patient data regarding age, sex, length of time after ingestion until admission, presenting clinical symptoms, type and localization of the battery, management, and prognosis were analyzed.
RESULTS: Among 1891 foreign body ingestions, 71 were localized in the esophagus, and 8 of those (11.2%) were cases of button battery ingestion. Mean age was 1.7 years. Admission was within 6 hours of ingestion in 5 cases, after 24 hours had elapsed in 2, and 1 month after ingestion in 1 case. All patients but 1 knew the history of ingestion. Prompt endoscopic removal was performed for all patients. Three patients developed esophageal stricture, which responded to dilatation.
CONCLUSION: Early recognition and timely endoscopic removal is mandatory in esophageal button battery ingestion. It should be suspected in the differential diagnosis of patients with persistent respiratory and gastrointestinal symptoms.