Esophageal bougienage technique for coin ingestion in children

Bonadio, William A.; Jona, Juda Z.; Glicklich, Marvin; Cohen, Roger D.

doi:10.1016/s0022-3468(88)80384-1

Cited by 56 publications

(35 citation statements)

References 6 publications

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“…11 The others techniques being pushing the foreign body into the stomach with a bougie and intravenous glucagon as a method of treatment for esophageal meat impaction has been tried. 12,13 The effect of glucagon is thought to be secondary to relaxation of oesophageal and oesophagogastric junction smooth muscles. When it fails, oesophagoscopy has to be performed within 6 hours.…”

Section: Discussionmentioning

confidence: 99%

Unusual foreign body in the upper digestive tract: case report

Elaprolu

Marimuthu

Sekar

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Section: Discussionmentioning

confidence: 99%

Unusual foreign body in the upper digestive tract: case report

Elaprolu

Marimuthu

Sekar

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…14 The technique of pushing the FB into the stomach with a bougie has also been advocated. 12 Those advocating balloon catheter or bougienage technique cite the following advantages over esophagoscopy: avoidance of hospitalization, avoidance of the risks of general anesthesia and endotracheal intubation, and avoidance of the risks of esophagoscopy. 15 We think that any FB that can be removed by a Foley catheter or a bougie can be removed as easily and perhaps more safely under direct vision with rigid esophagoscopy.…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies of the Esophagus: A Two-Year Prospective Study

Ashoor

Momen

2000

Ann Saudi Med

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Foreign body (FB) impaction of the upper digestive tract is a common problem in both children and adults. The estimated annual incidence of foreign body ingestion in the United States is about 120 per million population, with approximately 1500 deaths each year.1 Typically, two types of FBs are encountered-true FB (e.g., coins, buttons) and food-related FB. The three common areas for esophageal FB impaction are just below the cricopharyngeal muscle (70%), the site where the aortic arch crosses the anteromedial wall of the esophagus (20%), and at the gastroesophageal junction (10%). In most cases, an impacted esophageal FB is an urgent medical situation, but not a life-threatening one. 2,3 This study was aimed at establishing the pattern of ingested FBs, their symptomatologies, presentation, techniques of removal and the possible associated complications. Subjects and MethodsA prospective study for suspected impacted esophageal FB was carried out in the ENT Department at King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia, from January 1995 to August 1997. The study involved 26 patients admitted to the ENT ward with a history of impacted FB. They comprised 23 adults (88%) and three children (12%). Four other children were excluded from the study because the FB had passed spontaneously down the esophagus during the observation period.The age of the patients ranged from 2 to 71 years (mean 35 years), and the male to female ratio was 14:12. Fourteen patients (54%) were Saudis and 12 (46%) were non-Saudis. Twenty-five of the patients (96%) were admitted through the Emergency Department for urgent esophagoscopy, while the other one was admitted through the Outpatient Department-an Indian female who presented with dysphagia and odynophagia after a meal of chicken three days prior to presentation. The details of the patients, including age, sex, nationality, source of admission, urgency of the procedure, types of FB found, the status of the esophagus if no FB were found, complications, and the duration of the hospital stay, were analyzed, and are discussed below. ResultsThe summary of the presenting symptoms of the disease (Table 1) shows that dysphagia (22 cases) and odynophagia (21 cases) were the most common presenting symptoms. X-ray findings were positive in only seven cases (27%), in which the foreign bodies involved were three coins, two fish bones, a meat bone and a chicken bone. The clinical history and patients' symptoms were found to be the most accurate indicators of impacted esophageal FB. All the patients were admitted to the hospital, and the removal of the FB was accomplished under general anesthesia with endotracheal intubation, using the rigid esophagoscopy technique. The types of FB found were fish bone (seven cases, 27%); meat bone (six cases, 23%); coins (three cases, 12%); chicken bone (one case, 4%); meat bolus (one case, 4%); and pigeon bone (one case, 4%).All three children in our study had coins lodged in the cervical esophagus. These were removed by the use of grasping forceps...

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“…These methods include the Foley catheter [11,12], glucagon [13,14], bougienage technique [15], flexible esophagoscopy [16][17][18][19], and rigid esophagoscopy [20][21][22].…”

Section: Methods Of Foreign Body Removalmentioning

confidence: 99%

“…The Bougienage technique has been recommended by some for use in children where a blunt, acutely swallowed foreign body such as a coin has been ingested; it is not recommended for sharp-edged foreign bodies [15].…”

Section: Methods Of Foreign Body Removalmentioning

confidence: 99%

Dysphagia After Emergency Intubation: Case Report and Literature Review

Chin

Ellul

2008

Dysphagia

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The authors present the case of a 62-year-old male who presented with dysphagia for 1 month after emergency intubation after sustaining a myocardial infarction. Subsequent clinical evaluation discovered an impacted partial denture as the source of this dysphagia. This case highlights clinically relevant issues regarding the multidisciplinary management of emergency intubation with subsequent dysphagia, the nature of dentures and their relevance to developmentally delayed individuals and an aging population. The diagnosis and management of impacted dentures involves valuable input from surgeons, physicians, radiologists and speech pathologists.

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Esophageal bougienage technique for coin ingestion in children

Cited by 56 publications

References 6 publications

Unusual foreign body in the upper digestive tract: case report

Unusual foreign body in the upper digestive tract: case report

Foreign Bodies of the Esophagus: A Two-Year Prospective Study

Dysphagia After Emergency Intubation: Case Report and Literature Review

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