A Statistical Review of Esophageal Foreign Bodies

Kasugai, Shigeru; Watanabe, Shôji; Akazawa, Yoshihiro; Otsuka, Takashi; Tomisawa, Hideo; Nobukiyo, Shigenori; Koizuka, Izumi

doi:10.2468/jbes.58.527

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…The two age peaks of our study subjects concur with previous reports [3][4][5]. The incidence of esophageal foreign bodies in the present pediatric population (14%) was close to the lower end of the range reported previously (14.3%-80%).…”

Section: Discussionsupporting

confidence: 81%

“…In contrast to other countries, PTPs appear to be frequently found as esophageal foreign bodies in Japan and Korea [3][4][5]11,12]. In Japan, the frequency of PTPs among esophageal foreign bodies ranges from 16.9% to 37.6% [3][4][5].…”

Section: Discussionmentioning

confidence: 68%

“…Foods, bones, and dental prostheses are universally reported causes of esophageal obstruction in adults. In Oriental countries, the incidence of fi sh bones has been reported to be higher than that of chicken bones [3,4,7,8], as compared to Western countries [9,10]. Fish bones very frequently occur as esophageal foreign bodies in Japan because of the Japanese custom of cooking fi sh without removing the bones [3][4][5].…”

Section: Discussionmentioning

confidence: 96%

“…In Japan, the frequency of PTPs among esophageal foreign bodies ranges from 16.9% to 37.6% [3][4][5]. To reduce the risk of PTPs being ingested by mistake, Japanese pharmaceutical companies changed the design of PTPs in 1997 so that they could not be easily separated into individual sealed tablets [13].…”

Section: Discussionmentioning

confidence: 99%

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Management of esophageal foreign bodies: experience of 90 cases

et al. 2009

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Background. In Japan, there have been few recent reports of large-scale studies on the characteristics and optimal treatment of esophageal foreign bodies. Methods. We analyzed data on 90 patients diagnosed as having esophageal foreign bodies treated between April 2002 and August 2007. Results. In children younger than 15 years (n = 13), the types of foreign bodies included coins (n = 9), food (n = 1), and other objects (n = 3), 12 of which were successfully removed without endoscopic procedures; in the remaining 1 case, the object advanced to the lower digestive tract spontaneously. In adults aged 15 years or older (n = 77), the types of foreign bodies included food-bolus impaction (n = 26), press-through packages (n = 18), fi sh bones (n = 14), dental prostheses (n = 13), and other objects (n = 6). The foreign bodies had advanced to the lower digestive tract in 4 patients at the time of fl exible endoscopy performed under topical pharyngeal anesthesia. In 6 of the remaining 73 patients, the fi rst endoscopic extraction was unsuccessful, and 5 of these cases involved dental prostheses. The mean maximal size of the dental prosthesis was signifi cantly greater in patients in whom removal was unsuccessful than in those in which it was successful (5.8 versus 1.6 cm, respectively; P < 0.05). The procedures employed following unsuccessful endoscopy included thoracotomy (n = 1), laparotomy (n = 1), removal by forceps under direct vision (n = 1), and rigid (n = 1), and fl exible endoscopy (n = 2) under general anesthesia.Conclusions. The majority of esophageal foreign bodies were successfully removed nonendoscopically in pediatric patients and endoscopically in adult patients. Endoscopic removal under topical pharyngeal anesthesia may not be indicated for patients who have swallowed large dental prostheses.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Management of esophageal foreign bodies: experience of 90 cases

et al. 2009

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“…Cases of accidental swallowing of PTPs have been reported previously . The swallowed PTPs can cause perforations of the digestive tract .…”

Section: Discussionmentioning

confidence: 99%

Aspiration of a drug in a blister pack

Mori

Kusanagi

Ashikari

et al. 2019

Respirology Case Reports

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We report a rare case of aspiration of a drug in a press‐through package (PTP) treated by not just pulling it but using a unique technique. A 73‐year‐old woman was referred to our department because of a persistent cough resulting from aspiration of a PTP. Flexible bronchoscopy identified the PTP in the trachea immediately above the carina. Just pulling the centre of the PTP edge with biopsy forceps could not move it, and we then rotated it by pulling the corner of the PTP edge to directly below the vocal cord. Passing over the vocal cord was difficult, which made us remove the bronchoscope and urge the patient to cough. These rotation techniques and voluntary coughing successfully removed the foreign body. This unique procedure may aid in the removal of a similar foreign body using a flexible bronchoscope forceps with insufficient grasping force.

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