Endovascular stent-graft treatment for aortoesophageal fistula induced by an esophageal fishbone: Two cases report

Gong, Hang; Wei, Wei; Huang, Z. P.; Hu, Ying; Liu, Xianli; Hu, Zhen

doi:10.12998/wjcc.v10.i7.2206

Cited by 5 publications

(1 citation statement)

References 17 publications

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“…An esophageal foreign body firmly embedded in the wall is more likely to cause mucosal damage during the embedding and removal procedures. Improper or delayed treatment of refractory foreign body incarceration can lead to severe complications such as mediastinitis, aortoesophageal fistula, pneumothorax, and pericardial effusion (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and safety of a self-developed sleeve for the endoscopic removal of refractory foreign body incarceration

Zhang

et al. 2023

Front. Surg.

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ObjectiveThis study aimed to assess the feasibility and safety of a novel self-designed sleeve for the endoscopic removal of a refractory incarcerated foreign body in the upper gastrointestinal tract (UGIT).MethodsAn interventional study was conducted between June and December 2022. A total of 60 patients who underwent an endoscopic removal of a refractory incarcerated foreign body from the UGIT were randomly allocated to the self-developed sleeve and the conventional transparent cap. The study evaluated and compared the operation time, successful removal rate, new injury length at the entrance of the esophagus, new injury length at the impaction site, visual field clarity, and postoperative complications between the two groups.ResultsThe success rates of the two cohorts in the foreign body removal display no significant discrepancy (100% vs. 93%, P = 0.529). Nevertheless, the methodology of the novel overtube-assisted endoscopic foreign body removal has culminated in a significant reduction in the removal duration [40 (10, 50) min vs. 80 (10, 90) min, P = 0.01], reduction in esophageal entrance traumas [0 (0, 0) mm vs. 4.0 (0, 6) mm, P < 0.001], mitigation of injuries at the location of the foreign body incarceration [0 (0, 2) mm vs. 6.0 (3, 8) mm, P < 0.001], an enhanced visual field (P < 0.001), and a decrement in postoperative mucosal bleeding (23% vs. 67%, P < 0.001). The self-developed sleeve effectively negated the advantages of incarceration exclusion during removal.ConclusionThe study findings support the feasibility and safety of the self-developed sleeve for the endoscopic removal of a refractory incarcerated foreign body in the UGIT, with advantages over the conventional transparent cap.

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Section: Introductionmentioning

confidence: 99%

Feasibility and safety of a self-developed sleeve for the endoscopic removal of refractory foreign body incarceration

Zhang

et al. 2023

Front. Surg.

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Minimally invasive treatment for an aortic pseudoaneurysm caused by fishbone-induced esophageal perforation: A case report

Dong,

Cai,

Zhang

et al. 2024

Asian Journal of Surgery

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Non-foreign body-associated risk factors for complications associated with esophageal foreign-body removal and timing of endoscopic treatment: a single-center retrospective study

He,

Xu,

Fan

et al. 2024

BMC Gastroenterol

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Background Complications from prolonged esophageal foreign body impaction are well-documented, yet the significance of non-foreign body factors has not been thoroughly explored. This study aims to investigate non-foreign body risk factors for complications during esophageal foreign-body removal and to evaluate the impact of treatment timing. Study We conducted a retrospective evaluation of patients diagnosed with esophageal foreign bodies requiring gastroscopic removal in our hospital between January 2019 and December 2020. Non-foreign body factors, such as whether endoscopic treatment was on the day of the visit, visiting time, complaint time (from ingestion to presentation), anesthesia method, and holidays, were considered. Results In total, 831 patients were included. The success rate of endoscopic treatment was 97.8%. The overall probabilities of mucosal injury, bleeding, and perforation were 90.3%, 53.3%, and 6.9%, respectively. The treatment was performed on the day of the patient’s visit for 70.4% patients, under sedation anesthesia for 50.7% patients, and in the early night for 44.6% patients. Treatment on the day of the visit did not affect the success rate. Same-day treatment was a protective factor for mucosal injury and perforation on univariate logistic regression analysis, but did not independently influence mucosal injury, bleeding, or perforation on multivariate analysis. Visiting time, complaint time, and holidays affected the complication rate. During the COVID-19 period in China, visiting time and anesthesia method were found to be independent predictors of same-day treatment. Conclusions Complaint time, visiting time and same-day treatment are significant and practical factors influencing the complications of endoscopic foreign-body removal. Certain patients, notably night-time visitors, might benefit from delaying treatment until the following day to utilize sedative anesthesia to minimize risks. Supplementary Information The online version contains supplementary material available at 10.1186/s12876-024-03532-0.

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Endovascular stent-graft treatment for aortoesophageal fistula induced by an esophageal fishbone: Two cases report

Cited by 5 publications

References 17 publications

Feasibility and safety of a self-developed sleeve for the endoscopic removal of refractory foreign body incarceration

Feasibility and safety of a self-developed sleeve for the endoscopic removal of refractory foreign body incarceration

Minimally invasive treatment for an aortic pseudoaneurysm caused by fishbone-induced esophageal perforation: A case report

Non-foreign body-associated risk factors for complications associated with esophageal foreign-body removal and timing of endoscopic treatment: a single-center retrospective study

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