A 22-month-old child presented with a three centimeter esophageal stricture just below the level of the larynx secondary to a leaking watch battery that had lodged there approximately 12 months previously. The battery was removed endoscopically when it was discovered, but it had likely been in place for many months. Multiple attempts at dilation became progressively less beneficial as the stricture matured. The patient could not handle solid food. Due to the length of the stricture and its location, resection and primary anastomosis was not considered an option. A free jejunal segment was planned, but an attempt at myotomy/escharotomy was to preceed this option.
The lateral wall of the esophagus was exposed, the stricture identified, and the recurrent laryngeal nerve identified and protected. To protect its segmental blood supply, the esophagus was not encircled.
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