Accidental foreign body (FB) ingestion is a common clinical problem.1 FB ingestion is highly prevalent among the pediatric age group. In adults, it occurs most frequently in alcoholics, prisoners, and those with mental retardation. 2,3Radiological localization of ingested FB using advanced techniques is mandatory. 4 Esophagoscopy is the main method for the removal of FBs. Rigid esophagoscopy has been mainly associated with a 5 and 10% risk of perforation during FB removal. The ideal methods are all of the procedures which have lower perforation rate to quickly remove the FBs. Foley catheter extraction and the minimally invasive Magill forceps devices were described for this goal to remove FBs which located in the upper esophagus. The present study aimed to report our experience retrieving ingested FBs from the upper esophagus in children using Magill forceps under general anesthesia. Materials and MethodsIn total, 88 patients (45 (1) coins, (2) toys, (3) metals, (4) bones, (5) battery, (6) glass, and (7) food. A laryngoscope was used to elevate the larynx and expose the esophageal entrance. Magill forceps were advanced into the esophagus and opened to observe and extract the FB.Results All 88 patients who underwent endoscopic examination due to suspected FB ingestion were confirmed to have ingested a FB. Median age was 12 years; 15 patients were aged < 5 years; 63 (71.5%) were diagnosed based on routine radiographic findings, and others were diagnosed based on physical findings and history. The most common type of FB was coins (n ¼ 51 [57.9%]). Mean surgical duration was 20 minutes. Conclusion FBs located at cervical esophageal level are usually the most difficult to remove. Magill forceps should be used before other methods.

techniques, esophagectomy remains 1 of the most demanding surgical procedures, and it is associated with a significant rate of morbidity and mortality. Esophageal anastomotic leak remains 1 of the most devastating complications after total gastrectomy or esophagectomy, with a reported incidence that reaches 6% and 35%, respectively, for upper anastomosis [2, 3].In this study, the authors presented a numerous and homogeneous series of patients who underwent surgical procedures for cancer. However, it would have been interesting to divide the patient series into subgroups according to the precise tumor site, because leakage rates do have different incidence rates, different symptoms, and different therapeutic approaches. Moreover, it is not clear from the article in which kinds of leaks the stent is appropriate and successfully therapeutic. In addition, it would be interesting to know the total number of patients with esophageal-gastric cancer who were treated by the center to better evaluate the real anastomotic leakage rate.In the period from 2003 to 2012, the same authors reported in a previous study an anastomotic leakage rate after total gastrectomy of 14% [4], which seems too high in comparison with reports in the literature.Thus we think that it is very important to successfully heal the leak, but it is also important to know the causes that lead to such a high leakage rate, because postsurgical morbidity seems to affect patient survival, as shown by Markar and colleagues [5].In fact Markar and colleagues [5] demonstrated that postoperative esophageal-gastric leaks were strongly correlated with survival and local recurrence.

Randomized trial of mediastinal lymph node sampling versus complete lymphadenectomy during pulmonary resection in the patient with N0 or N1 (less than hilar) non-small cell carcinoma: results of the American College of Surgery Oncology Group Z0030 Trial.

No abstract

No abstract