Figure 1

Algorithms for the management of ingested Disk Batteries in children (Lithium Batteries or Alkalike Batteries). 1. The follow-up, above all in case of esophageal lesion, should monitor possible late onset esophageal perforation or vessel fistula. 2. Consider all symptoms, excluding bleeding. 3. Endscopy can be postponed within 48 hrs in not passed cells; reduce the waiting time in case of alkaline battery, very young age or not witness ingestion. DB: disk battery; GI: gastrointestinal, CV: cardio-vasscular; FBC: full blood count; OR: operating room equipped for cardio-vascular surgery; CT angiogram computed tomography angiogram; F-up: follow-up.