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디스크 전지를 삼킨 소아에서내시경적 이물 제거술의 비교

Comparison of Endoscopic Removal of Disk Batteries in Children

최병호|박선민|황수경|서혜은|홍석진|홍은희|추미애|조민효|심예지|김정옥|임해리
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)|2007.09|Pediatric Gastroenterology, Hepatology & Nutrition|제10권 제2호|pp. 147-156

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참고문헌

주제분류소아과학

초록

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. (Korean J Pediatr Gastroenterol Nutr 2007; 10: 147 156)

참고문헌 (57)

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  34. Yardeni D, "Severe esophageal damage due to button battery ingestion: can it be prevented?", 20, pp.496~501 (2004)
  35. Bernstein JM, "Lodged oesophageal button battery masquerading as a coin: an unusual cause of bilateral vocal cord paralysis", 24, pp.e15~ (2007)
  36. Maves MD, "Carithers JS. Radiographic identification of ingested disc batteries. Pediatr Radiol 1986", pp.154~6
  37. Maves MD, "Birck HG. Esophageal burns secondary to disc battery ingestion. Ann Otol Rhinol Laryngol 1984", pp.364~9
  38. Laugel V, "Accidental ingestion of button battery", 6, pp.1231~1235 (1999)
  39. Samad L, "Button battery ingestion: hazards of esophageal impaction", 34, pp.1527~1531 (1999)
  40. Peralta M, "Contreras L. Tracheoesophageal fistula secondary to ingestion of a button battery. Rev Chil Pediatr 1991", pp.378~81
  41. Nash JC, "Rutledge JC. The hazard of ingested alkaline disk batteries in children. JAMA 1983", pp.2504~6
  42. Blatnik DS, "Lehman RH. Fatal complication from an alkaline battery foreign body in the esophagus. Ann Otol Rhinol Laryngol 1977", pp.611~5
  43. "Feinberg AN. Esophageal perforation secondary to alkaline battery ingestion. JACEP 1979", shabi(cl), pp.360~3
  44. Chang YJ, "Clinical analysis of disc battery ingestion in children", 27, pp.673~677 (2004)
  45. 김재윤, "단추형 소형배터리 오음의 1례", 31, pp.1364~1369 (1988)
  46. 나기상, "수은전지에 의한 비중격천공 1례", 40, pp.300~303 (1997)
  47. 배선환, "리튬전지 제거 후 합병된 식도궤양과 가성식도게실 1례", Pediatric Gastroenterology, Hepatology & Nutrition, 6(1), pp.54~58 (2003), 대한소아소화기영양학회
  48. "Litovitz TL. Button battery ingestions. A review of 56 cases. JAMA 1983", pp.2495~500
  49. 서정기, "내시경적 위장관 이물제거의 실제 적응증과 가이드라인", 10, pp.64~69 (2007)
  50. Willis GA, "Ho WC. Perforation of Meckel's diverticulum by an alkaline hearing aid battery. Can Med Assoc J 1982", pp.497~8
  51. 송치욱, "현진해. Condom 을 이용한 내시경적 위내 바둑알 제거 1예. 대한소화기내시경학회지 1985", pp.45~7
  52. 최병호, "철분제 과다복용 환아에서 위내시경을 이용한 구명치료", 17, pp.801~805 (1997)
  53. Soong WJ, "Ingested button battery retrieved by a modified magnet endoscope", 70, pp.132~135 (2007)
  54. McDermott VG, "Orogastric magnet removal of ingested disc batteries", 30, pp.29~32 (1995)
  55. Choe YH, "Condom-snare method for endoscopic removal of round gastroesophageal foreign bodies in small children", 31(Suppl), pp.65S~66S (1999)
  56. Faigel DO, "Device choice and experience level in endoscopic foreign object retrieval: an in vivo study", 45, pp.490~492 (1997)
  57. 서정기, "출생 직후 신생아에서의 내시경적 위장관 이물 제거 3예", 18, pp.87~91 (1998)

관련 논문AI추천

Foreign Body Ingestion in Children: Should Button Batteries in the Stomach Be Urgently Removed?심정옥, 유기환, 은백린, 이정화, 이준희, 이지후대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2016 · 제19권 제1호소아의 위장관 이물에 대한 고찰이민혜대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2002 · 제5권 제2호Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin고재성, 문진수, 양혜란, 이은주, 조진민대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2017 · 제20권 제3호Button Battery Ingestion in Children: A Specific Clinical IssueFrancesco Macchini대한소화기내시경학회 · Clinical Endoscopy2018 · 제51권 제6호리튬전지 제거 후 합병된 식도궤양과 가성식도게실 1례배선환대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2003 · 제6권 제1호Use of an insulated tip knife in the management of a common foreign body in a childChaiti Gandhi, Pratin Bhatt, Ravi Bokarvadia, Rushi Pipavat, Sanjay Rajput, Varun Tadkalkar, Vatsal Bachkaniwala소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제2호

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