Removal of Blunt Esophageal Foreign Bodies by Flexible Endoscopy Without General Anesthesia

Bendig, Donald W.

doi:10.1001/archpedi.1986.02140220071035

Cited by 23 publications

(15 citation statements)

References 7 publications

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“…Plusieurs techniques ont été décrites pour l'extraction des pièces de monnaie [1,2,[5][6][7][8][9][10][11]15,16]. L'extraction par sonde de Foley est probablement la technique la moins invasive [17,18].…”

Section: Discussionunclassified

“…Plusieurs approches ont été décrites dans la littérature pour permettre cette extraction. Il s'agit de l'utilisation de la pince de Magill [5,7], du recours à la sonde de Foley [8,9], de l'oesophagoscopie flexible [10] ou rigide [11]. Le but de cette étude était de présenter notre expérience d'extraction des pièces de monnaie coincées dans l'oesophage supérieur d'enfants, en utilisant la pince de Magill sous sédation inhalée en ventilation spontanée.…”

Section: Mots Clés Pièce De Monnaie · Extraction · Oesophage · Pince unclassified

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Extraction des pièces de monnaie à partir du tractus oesophagien supérieur chez les enfants par la pince de Magill sous sédation en ventilation spontanée

et al. 2011

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Objectifs : L'ingestion de corps étrangers est une urgence pédiatrique. Les pièces de monnaie représentent une proportion importante des corps étrangers ingérés. Notre objectif était de décrire une méthode simple, efficace et sans danger pour extraire une pièce de monnaie coincée dans le tractus oesophagien supérieur d'un enfant. Matériel et méthodes : Dans cette étude rétrospective, 145 enfants (âge médian : 20 mois) ayant bénéficié de l'extraction d'une pièce de monnaie par pince de Magill sous laryngoscopie directe ont été recensés sur une période de trois ans (janvier 2007 à décembre 2009). La procédure était réalisée sous sédation par un mélange d'oxygène et d'halothane au masque facial. Résultats : L'extraction a été effectuée chez tous les patients sans complications, au premier essai dans 52 % des cas, au deuxième essai dans 38 % des cas et au troisième essai dans 10 % des cas restants. Le temps médian d'extraction de la pièce était de 43 secondes, allant de 30 à 75 secondes. Lors de l'insertion du laryngoscope, 110 des pièces de monnaie avaient été clairement visualisées, alors que les 35 autres ne l'avaient pas été. Aucun cas de laryngospasme ou de vomissement n'a été noté. Conclusion : L'extraction des pièces de monnaie coincées dans l'oesophage supérieur d'un enfant par pince de Magill sous sédation en ventilation spontanée est une technique facile, non coûteuse et sans complications. Pour citer cette revue : Réanimation 20 (2011). Mots clés Pièce de monnaie · Extraction · OEsophage · Pince de Magill · EnfantAbstract Objectives: Ingestion of foreign bodies is a common pediatric emergency. Coins represent a significant proportion of ingested foreign bodies. Our aim was to report a simple, efficient, and safe method to extract coins from the upper esophagus in children. Materials and methods: In this retrospective study, 145 patients (median age: 20 months) who underwent coin extraction by Magill forceps under direct laryngoscopy on a 3-year period (January 2007 to December 2009) were included. The procedure was performed under sedation with a mixture of oxygen and halothane by facemask. Results: Extraction was performed in all patients without complications. The coin was extracted in the first attempt in 52% of the cases, the second attempt in 38%, and the third attempt in 10% of the cases. The mean extraction time was 43 seconds, ranging from 30 to 75 seconds. Following laryngoscope insertion, 110 coins were clearly visualised, while 35 were not. No case of laryngospasm or vomiting was noted. Conclusion: Extracting coins from a child's upper esophagus with Magill forceps under sedation and spontaneous ventilation is an easy, inexpensive, and safe method. To cite this journal: Réanimation 20 (2011).

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Section: Discussionunclassified

Section: Mots Clés Pièce De Monnaie · Extraction · Oesophage · Pince unclassified

Extraction des pièces de monnaie à partir du tractus oesophagien supérieur chez les enfants par la pince de Magill sous sédation en ventilation spontanée

et al. 2011

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“…Others include flexible fiberoptic esophagoscopy, Foley catheter technique, and esophageal bougienage. [8][9][10] We found rigid esophagoscopy to be a safe, quick, easy and reliable technique for removing FB, and with an advantage over blind techniques. 10,11 It permits a direct visualization, full judgment of the FB and esophageal mucosa, and allows removal of the FB without damaging the mucosa.…”

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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“…Untersuchungen mit ähnlich großen Fallzahlen wie in unserer Umfrage finden sich im Schrifttum weder für die Tracheobronchoskopie, noch für die Öso-phagoskopie. Allen vergleichenden Arbeiten gemein ist jedoch, daß die flexible Technik [6,11,24,33,44,46,55,63,64] den Vorrang gegenüber dem starren Verfahren erhält. Lukomsky [33] beschreibt bereits 1981 eine prospektive Studie mit 4.595 Tracheobronchoskopien, von denen 3.449 starr und 1.146 flexibel durchgeführt worden waren und kommt zu dem Ergebnis, daß die Komdere die Bronchoösophagoskopie beim Kind [26,57] erfordert die Beherrschung auch starrer Techniken [28].…”

Section: Ergebnisse Zur Tracheobronchoskopieunclassified

“…Freitag [21], Dumon [18], Mohnke [35], Borchers [10] und Monnier [36,37,39] [7], Brady [11], Yuguero [64], Christie [14], Bending [6] und Yang [63] sowohl für die Ösophagusfremdkörperentfernung beim Erwachsenen, als auch beim Kind, die starre Technik durch die flexible zu ersetzen. Berggreen [7] und Brady [11] beschreiben Erfolgsraten von 96 bzw.…”

Section: Ergebnisse Zur Tracheobronchoskopieunclassified

Tracheobronchoskopie und Ösophagoskopie in der Hals-Nasen-Ohren-Heilkunde

Schmidt

Hörmann

Stasche

et al. 1998

HNO

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Its is the task of each medical specialty to develop guidelines for diagnosis and therapies. Examinations done by several specialties should follow a common consensus. A randomized survey at 70 German ENT departments investigated the current position of tracheobronchoscopy and esophagoscopy at each institution. Sixty questionnaires were evaluable. Altogether 8,295 tracheobronchoscopies and 10,404 esophagoscopies were performed. Thirty-six percent of all tracheobronchoscopies and 6% of all esophagoscopies were done with a flexible system. Approximately 58% of all tracheobronchoscopies and 55% of all esophagoscopies were performed for tumor staging. Complications during tracheobronchoscopy occurred in 0.8% of cases and in 0.58% of the esophagoscopies. Using these data an interdisciplinary quality assurance concept was developed for tracheobronchoscopy and esophagoscopy. Current experience has shown that a otolaryngologists in Germany mainly perform rigid tracheobronchoscopy and esophagoscopy. Although endoscopy is mostly done in cases with varied anatomic structures, complications are very rare and comparable to flexible techniques. Greater experience with flexible systems also is to be encouraged in ENT departments.

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Removal of Blunt Esophageal Foreign Bodies by Flexible Endoscopy Without General Anesthesia

Cited by 23 publications

References 7 publications

Extraction des pièces de monnaie à partir du tractus oesophagien supérieur chez les enfants par la pince de Magill sous sédation en ventilation spontanée

Extraction des pièces de monnaie à partir du tractus oesophagien supérieur chez les enfants par la pince de Magill sous sédation en ventilation spontanée

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

Tracheobronchoskopie und Ösophagoskopie in der Hals-Nasen-Ohren-Heilkunde

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