Clinical Characteristics of an Esophageal Fish Bone Foreign Body from<i>Chromis notata</i>

Kim, Heung Up; Song, Hyun Joo

doi:10.3346/jkms.2012.27.10.1208

Cited by 15 publications

(25 citation statements)

References 24 publications

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“…This result may be due to the small sample size and is consistent with a previous report. In a study by Kim and Song, 20 only two patients underwent surgery due to abscess formation. In those cases, the durations of time between ingestion and hospital arrival were 3 and 5 days.…”

Section: Discussionmentioning

confidence: 99%

Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

Zhang

Yan

et al. 2017

J Int Med Res

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ObjectiveThis study was performed to identify the differences in clinical characteristics, operative methods, complications, and postoperative hospitalization stays for adults with esophageal foreign bodies with different durations of time from ingestion to effective treatment.MethodsWe retrospectively reviewed the medical records of 221 patients with a diagnosis of a foreign body in the esophagus, confirmed by rigid esophagoscopy, flexible esophagoscopy, or surgery. The differences between the two groups (Group A, ≤24 hours from ingestion to effective treatment; Group B, >24 hours from ingestion to effective treatment) were analyzed.ResultsSharp foreign bodies comprised the majority of objects in the two groups, including jujube pits, bones (excluding fish bones), fish bones, dentures, and seafood shells. Foreign bodies located in the upper esophagus were more commonly observed in Group A than B. Significant differences were observed in the complication rate and length of postoperative hospitalization stays. Adults with esophageal foreign bodies had a high complication rate.ConclusionsRigid esophagoscopy can be used to remove sharp and bulky foreign bodies if more effective methods are unavailable. Effective treatment within 24 hours resulted in fewer complications and shorter postoperative hospitalization stays.

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Section: Discussionmentioning

confidence: 99%

Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

Zhang

Yan

et al. 2017

J Int Med Res

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“…In South China, fish bone ingestion is most common (60%) among the FB diseases and becomes more prevalent with time [ 22 ]. In Korea, FFB is most common (46% to 72.3%) in upper gastrointestinal FB disease [ 23 - 26 ]. Sex distributions varied among centers.…”

Section: Fish Bone Foreign Body In the Esophagus And Pharynxmentioning

confidence: 99%

Oroesophageal Fish Bone Foreign Body

Kim

2016

Clin Endosc

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Fish bone foreign body (FFB) is the most frequent food-associated foreign body (FB) in adults, especially in Asia, versus meat in Western countries. The esophageal sphincter is the most common lodging site. Esophageal FB disease tends to occur more frequently in men than in women. The first diagnostic method is laryngoscopic examination. Because simple radiography of the neck has low sensitivity, if perforation or severe complications requiring surgery are expected, computed tomography should be used. The risk factors associated with poor prognosis are long time lapse after FB involvement, bone type, and longer FB (>3 cm). Bleeding and perforation are more common in FFB disease than in other FB diseases. Esophageal FB disease requires urgent treatment within 24 hours. However, FFB disease needs emergent treatment, preferably within 2 hours, and definitely within 6 hours. Esophageal FFB disease usually occurs at the physiological stricture of the esophagus. The aortic arch eminence is the second physiological stricture. If the FB penetrates the esophageal wall, a life-threatening aortoesophageal fistula can develop. Therefore, it is better to consult a thoracic surgeon prior to endoscopic removal.

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“…For example, fish stew has higher risk of esophageal FFB (Kim et al 2015). In study by Kim and Song showed that Damselfish and Armorchlad rockfish are top two causative FFB in Korea due to its unique bone shape and popular fish for Korean dishes (Kim, & Song 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Among all complications, esophagus perforation is most common (Nandi, & Ong, 1978). In FFB, more than half will develop esophageal penetration or perforation (Kim, & Song, 2012). Complications develop more frequently with longer duration of impaction (>24 hours), bone type, and longer bone length (>3 cm) (Marco de Lucas et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Esophageal laceration (Wu et al 2008) and intramural hematoma (Aslan et al 2014) are rare complications in FFB. Other complications of FFB include recurrent pneumonia (Saibo et al, 2013) pneumomediastinum, mediastinitis (Kim, & Song 2012) and rupture ascending aorta (Macchi et al 2008). If the FFB advances to the heart, pericarditis, cardiac tamponade, infectious endocarditis and systemic air embolism may develop (Blanco Ramos et al 2009;Liang et al 2014).…”

Section: Discussionmentioning

confidence: 99%

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Fish Bone Foreign Body Disease: A Case with Dramatic Complication

How¹

2018

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Fish bone is the commonest cause of foreign body disease in Asian population. Esophageal perforation following fish bone foreign body accounts for 1-4% of the total reported cases. A 60-year-old lady presented with progressively worsening dysphagia and odynophagia over five days period following a fish meal. She sought treatment at two general practitioner clinic and a private hospital before being referred to Ear, Nose and Throat specialist. Repeated neck X-ray revealed a significant increase in prevertebral soft tissue thickness with large air-pocket tracking, small opacity at the prevertebral C3 level and subcutaneous emphysema anterior to the neck suggestive of retropharyngeal hematoma or abscess. A CT neck and thorax showed a 2.1 cm linear dense structure at the level of C7/T1 that appeared to protrude outside the esophagus in between the tracheoesophageal space. Direct laryngoscopy and repeat emergency esophagoscopy revealed a perforation at the right side of esophagus distal to cricopharyngeus with pus discharge upon milking of posterior lateral wall and a fish bone measuring 3.0 x 0.5 cm was removed from posterior wall of esophagus 17 cm from incisor. Gastrograffin study on day 10 was normal and was discharged on day 11 with Ryle's tube feeding and to complete oral antibiotic. Fiber optic endoscopic evaluations of swallowing at two weeks follow up was normal. Subsequent review in the clinic showed full recovery without sequelae. Migrating fish bone can lead to esophagus penetration with serious complications. Mortality and morbidity from fish bone foreign body can be minimized with early diagnosis, referral and removal.

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Clinical Characteristics of an Esophageal Fish Bone Foreign Body fromChromis notata

Cited by 15 publications

References 24 publications

Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

Oroesophageal Fish Bone Foreign Body

Fish Bone Foreign Body Disease: A Case with Dramatic Complication

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