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Management of esophageal foreign bodies: A report on 26 patients and literature review

Year 2010, Volume: 15 Issue: 1, 21 - 25, 15.01.2013

Abstract

Abstract. The purpose of this study is to present our experience of the removal of esophageal foreign bodies in children and adults using rigid esophagoscope under general anesthesia. A total of 26 patients with a history of ingested foreign body in the esophagus were admitted and treated in our hospital between July 2005 and August 2007, of whom 20 children and 6 adults. There were 14 male and 12 female patients between 6 months and 70 years of age. All patients except one had a clear history and symptoms of foreign body ingestion. The main symptoms were difficulty in swallowing, acute onset of pain, dysphagia, choking and excessive salivation. A lateral neck plain radiograph and a posteroanterior view that included the oropharynx, neck, chest, and abdomen were made routinely before esophagoscopic examination. Foreign bodies were most commonly identified in the cervical esophagus, usually immediately below the cricopharyngeus (16 children). Remaining foreign bodies were as follows: 6 (4 children, 2 adults) foreign bodies were lodged in the midesophagus and 4 (all adults) in the distal esophagus. All foreign bodies were removed under general anesthesia. A rigid esophagoscope was used to remove them. Coins were the most common foreign body removed from the esophagus, occurring in 14 patients, all children. Other foreign bodies were bones mixed with pieces of meat, button battery, staples, safety pins, chicken bones, and fish bone. There were no deaths, no perforations, no cases of mediastinitis, and actually no complications secondary to insertion of the esophagoscope and removal of the foreign body. Rigid esophagoscopy remains as safe method of esophageal foreign body removal. The timely diagnosis and endoscopic removal should be performed to prevent serious life-threatening complications.

Key words: Esophagoscopy, foreign body, impaction

References

  • Tekinbaş C, Erol M. Video-mediastinoscopy: for extracting upper esophageal foreign bodies. Ann Thorac Surg 2007; 83: 2239-2240.
  • Weisberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007; 84: 1854-187.
  • Little DC, Shah SR, Peter SD, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg 2006;41:914-918.
  • Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardio-Thorac Surg 1998; 13: 494-499.
  • Naidoo RR, Reddi AA. Chronic retained foreign bodies in the esophagus. Ann Thorac Surg 2004; 77: 2218-2220.
  • Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardio-Thorac Surg 2002; 21: 653-656.
  • Han S, Kayhan B, Dural K, Kocer B, Sakinci U. A new technique for removing cervical esophageal foreign body. Turk J Gastroenterol 2006; 16: 108- 110.
  • Degghani N, Ludemann JP. Ingested foreign bodies in children: BC Children Hospital Emergency Room Protocol. BC Med J 2008; 50: 257-262.
  • Waltzman ML. Management of esophageal coins. Curr Opin Pediatr. 2006; 18: 571-574.
  • Silverberg M, Tillotson R. Esophageal foreign body mistaken for impacted button battery. Pediatric Emergency Care 2006; 22: 262-265.
  • Balcı AE, Eren Ş, Eren MN. Esophageal foreign bodies under cricopharyngeal level in children. An analysis of 1116 cases. Intreact Cardiovasc Thorac Surg 2004; 3: 14-18.
  • Macpherson RI, Hill JG, Othersen HB, et al. Esophegeal foreign bodies in children: diagnosis, treatment, and complications. AJR 1996; 166: 919- 924.
  • Baraka A, Bikhazi G. Oesophageal foreign bodies. British Med J 1975; 1: 561-563.
  • Medina HM, Garcia MJ, Velazquez O, et al. A 73- year-old man with chest pain 4 days after a fish dinner. Chest 2004; 126: 294-297.
  • Panda NK, Sastry KVSS, Panda NB, Reddy CE. Management of sharp esophageal foreign bodies in young children: a cause for worry. Int J Pediatr Otorhinolaryngol 2002; 64: 243-246.
  • Katsinelos P, Kountouras J, Paroutoglou G, Zavos C, Mimidis K, and Chatzimavrodis G. Endoscopic techniques and management of foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol 2006; 40: 784-789.
  • Mahafza T, Batieha A, Suboh M, Khrais T. Esophageal foreign bodies: a Jordanian experience. Int J Pediatr Otorhinolaryngol 2002; 64: 225-227.
  • Tsalis K, Blouhos K, Kapetanos D, Kontakiotis T, Lazaridis C. Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report. Cases Journal 2009; 2: 164.
  • McGuirt WF. Use of Foley catheter for removal of esophageal foreign bodies. A survey. Ann Otol Rhino Laryngol 1982; 91: 599-601.
  • Bounds BC. Endoscopic retrieval devices. Tecniques in Gastrointestinal Endoscopy 2006; 8: 16-21.
  • Seo YS, Park J-J, Kim JH, Kim JY, Yeon JE, Kim JS, et al. Removal of press-through-packs impated in the upper esophagus an overtube. World J Gastroenterol 2006; 28: 5909-5912.
Year 2010, Volume: 15 Issue: 1, 21 - 25, 15.01.2013

Abstract

References

  • Tekinbaş C, Erol M. Video-mediastinoscopy: for extracting upper esophageal foreign bodies. Ann Thorac Surg 2007; 83: 2239-2240.
  • Weisberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007; 84: 1854-187.
  • Little DC, Shah SR, Peter SD, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg 2006;41:914-918.
  • Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardio-Thorac Surg 1998; 13: 494-499.
  • Naidoo RR, Reddi AA. Chronic retained foreign bodies in the esophagus. Ann Thorac Surg 2004; 77: 2218-2220.
  • Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardio-Thorac Surg 2002; 21: 653-656.
  • Han S, Kayhan B, Dural K, Kocer B, Sakinci U. A new technique for removing cervical esophageal foreign body. Turk J Gastroenterol 2006; 16: 108- 110.
  • Degghani N, Ludemann JP. Ingested foreign bodies in children: BC Children Hospital Emergency Room Protocol. BC Med J 2008; 50: 257-262.
  • Waltzman ML. Management of esophageal coins. Curr Opin Pediatr. 2006; 18: 571-574.
  • Silverberg M, Tillotson R. Esophageal foreign body mistaken for impacted button battery. Pediatric Emergency Care 2006; 22: 262-265.
  • Balcı AE, Eren Ş, Eren MN. Esophageal foreign bodies under cricopharyngeal level in children. An analysis of 1116 cases. Intreact Cardiovasc Thorac Surg 2004; 3: 14-18.
  • Macpherson RI, Hill JG, Othersen HB, et al. Esophegeal foreign bodies in children: diagnosis, treatment, and complications. AJR 1996; 166: 919- 924.
  • Baraka A, Bikhazi G. Oesophageal foreign bodies. British Med J 1975; 1: 561-563.
  • Medina HM, Garcia MJ, Velazquez O, et al. A 73- year-old man with chest pain 4 days after a fish dinner. Chest 2004; 126: 294-297.
  • Panda NK, Sastry KVSS, Panda NB, Reddy CE. Management of sharp esophageal foreign bodies in young children: a cause for worry. Int J Pediatr Otorhinolaryngol 2002; 64: 243-246.
  • Katsinelos P, Kountouras J, Paroutoglou G, Zavos C, Mimidis K, and Chatzimavrodis G. Endoscopic techniques and management of foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol 2006; 40: 784-789.
  • Mahafza T, Batieha A, Suboh M, Khrais T. Esophageal foreign bodies: a Jordanian experience. Int J Pediatr Otorhinolaryngol 2002; 64: 225-227.
  • Tsalis K, Blouhos K, Kapetanos D, Kontakiotis T, Lazaridis C. Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report. Cases Journal 2009; 2: 164.
  • McGuirt WF. Use of Foley catheter for removal of esophageal foreign bodies. A survey. Ann Otol Rhino Laryngol 1982; 91: 599-601.
  • Bounds BC. Endoscopic retrieval devices. Tecniques in Gastrointestinal Endoscopy 2006; 8: 16-21.
  • Seo YS, Park J-J, Kim JH, Kim JY, Yeon JE, Kim JS, et al. Removal of press-through-packs impated in the upper esophagus an overtube. World J Gastroenterol 2006; 28: 5909-5912.
There are 21 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Hasan Ekim This is me

Publication Date January 15, 2013
Published in Issue Year 2010 Volume: 15 Issue: 1

Cite

APA Ekim, H. (2013). Management of esophageal foreign bodies: A report on 26 patients and literature review. EASTERN JOURNAL OF MEDICINE, 15(1), 21-25.
AMA Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. EASTERN JOURNAL OF MEDICINE. March 2013;15(1):21-25.
Chicago Ekim, Hasan. “Management of Esophageal Foreign Bodies: A Report on 26 Patients and Literature Review”. EASTERN JOURNAL OF MEDICINE 15, no. 1 (March 2013): 21-25.
EndNote Ekim H (March 1, 2013) Management of esophageal foreign bodies: A report on 26 patients and literature review. EASTERN JOURNAL OF MEDICINE 15 1 21–25.
IEEE H. Ekim, “Management of esophageal foreign bodies: A report on 26 patients and literature review”, EASTERN JOURNAL OF MEDICINE, vol. 15, no. 1, pp. 21–25, 2013.
ISNAD Ekim, Hasan. “Management of Esophageal Foreign Bodies: A Report on 26 Patients and Literature Review”. EASTERN JOURNAL OF MEDICINE 15/1 (March 2013), 21-25.
JAMA Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. EASTERN JOURNAL OF MEDICINE. 2013;15:21–25.
MLA Ekim, Hasan. “Management of Esophageal Foreign Bodies: A Report on 26 Patients and Literature Review”. EASTERN JOURNAL OF MEDICINE, vol. 15, no. 1, 2013, pp. 21-25.
Vancouver Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. EASTERN JOURNAL OF MEDICINE. 2013;15(1):21-5.