Patient selection: disc battery ingestion known or suspected
Patient who can be managed by carefully monitoring – all of the following:
(1) The patient is > 12 years old.
(2) The patient swallowed only 1 battery.
(3) The battery size is definitely <=12 mm.
(4) No magnet was swallowed
(5) The patient does not have any pre-existing esophageal disease.
(6) The patient is currently asymptomatic.
(7) The patient has had no symptoms since the ingestion.
(8) The patient and caregiver are reliable, mentally competent and able to promptly return.
A patient who fail one or more of these items must be managed more aggressively.
Home management:
(1) Eat a regular diet.
(2) Encourage activity.
(3) Confirm battery passage in stool.
Return for re-evaluation:
(1) If any symptoms develop.
(2) If the battery has not been passed by 10-14 days.
