Endoscopic removal of impacted foreign bodies

Sawant, Prabha; Nanivadekar, S A; Dave, Umakant; Kanakia, Rushit; Satarkar, Ramesh; Bhatia, Randhir S.; Devarbhavi, Harshad

doi:10.1007/bf02843619

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…The complications include erosion, perforation, retropharyngeal abscess, and pulmonary. 13 Prompt endoscopic intervention is the gold standard for foreign body removal. Foreign bodies such as open safety pin, needle, dentures with hooks, sharp blades are dangerous as it can cause laceration of the mucosa and perforation while attempting removal.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in adult upper digestive tract: a series of 30 cases

Jayaraman

Vikram

Kalaiselvi

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Rigid endoscopy under general anaesthesia has traditionally been used by otolaryngologist for diagnosis and management of variety of disorders affecting the upper digestive tract including the removal of foreign body. Smooth foreign bodies does not pose much threat but may cause airway obstruction. Sharp foreign bodies, if not removed the earliest may penetrate oesophageal wall and cause complications.Methods: A Retrospective analysis was done for patients who underwent rigid oesophaghoscopy under general anaesthesia for 30 patients of foreign body ingestion at Upgraded Institute of Otorhinolaryngology, Madras Medical College, Chennai, between November 2016 – November 2017. The records of age, sex, co-morbidities, X-ray finding, complications were recorded. Results: Majority of adults in this group belonged to 40-50 years age. The most common foreign body impacted was chicken bone totalling 16. 2 patients of denture ingestion were referred for flexible endoscopy after failed attempt, 1 developed oesophageal perforation.Conclusions: Rigid endoscopy is the gold standard for removal of sharp foreign body as the sharp ends can be clasped and brought in to the endoscope there by preventing damage to the mucosa. Foreign body with multiple sharp ends which cannot be negotiated into rigid endoscope, should be pushed into the stomach and attempted removal by cutting sharp ends of foreign body or by gastrostomy, as pulling such foreign body will lead to full length tear of oesophagus leading to morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Foreign bodies in adult upper digestive tract: a series of 30 cases

Jayaraman

Vikram

Kalaiselvi

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…If they are not removed at the earliest, can cause complications such as a retropharyngeal abscess, ulcerative esophagitis, esophago-respiratory fistula, stricture formation, impaction and recurrent pneumonitis. Sharp foreign body can also be removed safely by endoscopic technique in most cases avoiding open surgical methods [6].…”

Section: Discussionmentioning

confidence: 99%

An Unusually Large Foreign Body in Oesophagus in a 2-Year-Old Male Child

Kelkar¹,

Patil²

2015

IJOHNS

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A large variety of foreign bodies are swallowed by children, but the majority of those pass through the gastrointestinal tract without any adverse effects. The highest incidence of swallowed foreign bodies occurs in children between 6 months and 3 years. We reported to you an unusually large foreign body ingested by a 2-year-old male patient who underwent a rigid oesophagoscopy but the foreign body had to be removed by open surgical technique. It is advisable to have a multidisciplinary approach while dealing with such cases.

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