What is the appropriate management for cylindrical batteries that remain in the esophagus?

Cylindrical batteries that remain lodged in the esophagus require prompt and appropriate management due to the potential for serious complications, including tissue necrosis and perforation. These batteries can cause severe damage through chemical injury and pressure necrosis if left in place.

Endoscopic removal is the preferred approach because it allows for safe retrieval of the battery under direct visualization, reducing the risk of esophageal injury and freeing the patient from the potential for any further complications. This method is effective and is generally performed urgently, especially when the battery is identified early after ingestion.

In contrast, observation and expectant management may lead to significant risks and is not suitable for cases involving batteries. Chemical agents like ursodeoxycholic acid are not indicated for this scenario, as their application is unrelated to the management of battery ingestion. Transferring to general surgery may be necessary in some complex cases, but the first line of action in managing retained batteries in the esophagus is endoscopic removal. Therefore, the correct and most appropriate management for cylindrical batteries that remain in the esophagus is endoscopic removal.