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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 - Korean J Anesthesiol (2011)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

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.

No MeSH data available.


Related in: MedlinePlus

Chest CT scan shows tracheoesophageal fistula. T: trachea, E: esophagus.
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Figure 4: Chest CT scan shows tracheoesophageal fistula. T: trachea, E: esophagus.

Mentions: After the removal of the battery, the vital signs were blood pressure 96/69 mmHg, heart rate 152 beats/min, and 100% oxygen saturation. The patient was not extubated but moved to postoperative intensive care, and after pediatrics observed vital signs for about 3 hours to verify that there were no abnormalities, extubation was done. Subsequent vital sign checks and physical exam were normal, and there were no abnormalities found in the blood test. Moreover, the right main bronchus appeared on the screen in the postoperative esophagography (Fig. 3), and the chest CT scan found TEF at 1.4 cm in the upper carina (Fig. 4). The guardian wanted to have surgery for TEF at another hospital; therefore, 3 days after the surgery, she was transferred.


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 - Korean J Anesthesiol (2011)

Chest CT scan shows tracheoesophageal fistula. T: trachea, E: esophagus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3198189&req=5

Figure 4: Chest CT scan shows tracheoesophageal fistula. T: trachea, E: esophagus.
Mentions: After the removal of the battery, the vital signs were blood pressure 96/69 mmHg, heart rate 152 beats/min, and 100% oxygen saturation. The patient was not extubated but moved to postoperative intensive care, and after pediatrics observed vital signs for about 3 hours to verify that there were no abnormalities, extubation was done. Subsequent vital sign checks and physical exam were normal, and there were no abnormalities found in the blood test. Moreover, the right main bronchus appeared on the screen in the postoperative esophagography (Fig. 3), and the chest CT scan found TEF at 1.4 cm in the upper carina (Fig. 4). The guardian wanted to have surgery for TEF at another hospital; therefore, 3 days after the surgery, she was transferred.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

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.

No MeSH data available.


Related in: MedlinePlus