Safe and effective management of esophageal coins in children with bougienage

Heinzerling, Nathan P.; Christensen, Melissa; Swedler, Ruth M.; Cassidy, Laura D.; Calkins, Casey M.; Sato, Thomas T.

doi:10.1016/j.surg.2015.06.025

Cited by 17 publications

(15 citation statements)

References 13 publications

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“…Flexible endoscopy is the ''first line'' approach for upper gastrointestinal foreign bodies with a success rate of between 80%-100% and a less than 1% risk of perforation [4]. Various endoscopic retrieval devices are available that can be used to remove the foreign body (polypectomy snares, rat-tooth and alligator forceps, Dormia baskets, magnetic probes polyp graspers, retrieval nets, and friction-fit adaptors or banding caps).…”

Section: Discussionmentioning

confidence: 99%

“…Esophageal bougienage involves pushing the foreign body into stomach by passing an esophageal dilator. It has been used successfully at different centres with high reported success rate (94%-95%) [4,7]. The penny-pincher technique involves fluoroscopy-guided insertion of a grasping endoscopic forceps though a soft rubber catheter into the esophagus.…”

Section: Discussionmentioning

confidence: 99%

“…The penny-pincher technique involves fluoroscopy-guided insertion of a grasping endoscopic forceps though a soft rubber catheter into the esophagus. No sedation or placement of an advanced airway device is required in these techniques [4,7,8].…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Foley Catheter Technique for Removal of Esophageal Foreign Body

Kumar

Dangi

et al. 2017

GHOA

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Impacted esophageal foreign body in children may pose a challenging clinical scenario to the gastroenterologists. Early recognition and treatment is imperative as the complications can be life threatening. The Foley catheter method of foreign body extraction has been used on some patients, but endoscopy remains the treatment modality of choice. Here we report an interesting case of a child with impacted stone in the esophagus in whom a combined endoscopic-Foley catheter technique was successfully applied to extract the impacted foreign body.Keywords: Endoscopy; Esophageal; Foley catheter; Foreign body Esophageal Foreign body (FB) impaction is common in paediatric age group. Endoscopic removal of the FB is considered the standard treatment, while non-endoscopic methods have also been described in literature [1]. Non-endoscopic methods such as a Foley catheter technique with or without fluoroscopy have certain advantages in terms of simplicity and low-cost of the procedure, particularly useful for proximally impacted FBs. However, it has not been uniformly accepted in clinical practice, as it does not allow direct visualisation of the esophagus and has lower success rate.We are reporting a case of endoscopic Foley catheter technique for removal of an esophageal foreign body done under direct vision when classical endoscopic techniques like forceps removal failed. This innovative technique can be used to remove esophageal foreign body that are not sharp and faceted. Case PresentationA 7-year old girl was referred to us with complain of absolute dysphagia. She had history of accidental pebble ingestion 13 days back. At the time of presentation, the child was conscious, dehydrated but had no respiratory distress. She was unable to swallow her saliva and she was complaining of retrosternal chest pain. A general physical examination was normal. A plain radiograph of the chest revealed a rounded radio-opaque object measuring around 2.5x3.5 cm located at the level of mid esophagus (Figure 1).An esophagoscopy done under general anaesthesia revealed a white, round marble stone impacted at the mid-oesophagus. Forceps/snare removal was not successful because of the round shape and smooth surface of the stone. A 14 Fr Foley catheter was guided post foreign body and balloon was inflated with 5 ml saline. The Foley catheter was gradually pulled out along with the stone under endoscopic vision. The intermittent suction applied endoscopically also helped dislodgement and proximal movement of the stone. The stone was then brought to the oral cavity from where it was finally removed. Check endoscopy showed intact esophageal mucosa. The patient was given oral diet after recovering from anaesthesia, which she tolerated well. She was discharged from the hospital next day. DiscussionFB ingestion is a frequent complaint in paediatric emergency services. Most of the ingested FBs pass out of the gastrointestinal tract without getting impacted and intervention (endoscopic or surgical) is required only in 10%-20% of the cases [2]. T...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Endoscopic Foley Catheter Technique for Removal of Esophageal Foreign Body

Kumar

Dangi

et al. 2017

GHOA

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“…5 Many reports have focused on safe and effective methods for managing esophageal coins. Such methods include endoscopic removal, 6,7 balloon catheter removal with or without fluoroscopic guidance, 8,9 esophageal bougie, 10,11 the use of Magill forceps, [12][13][14] and the penny-pincher technique. 15 These approaches have similar success rates and a low incidence of complications.…”

Section: Introductionmentioning

confidence: 99%

Novel Bougie for the Management of Esophageal Coins in Children: An Observational Study

Xiong

Luo

et al. 2019

Ann Otol Rhinol Laryngol

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Objectives: To determine the efficacy and safety of a novel bougie for the removal of esophageal coins lodged in the proximal esophagus. Subjects and Methods: This was an observational study. Medical records were reviewed of patients who were confirmed with esophageal coins between July 2015 and October 2016 in our department. Sixty-three patients, upper esophageal coins were confirmed by radiographs, were treated by using this novel bougie to remove esophageal coins. Results: A total of 63 children were enrolled in this study. Sixty coins (95%) were removed successfully. The coin was extracted on the first attempt in 56 cases (89%), the second attempt in 3 cases (5%), and the third attempt in 1 case (2%). Two coins retained in the esophagus underwent endoscopy. In the remaining patient, the coin passed into the stomach and was confirmed to be passed in the stool within 48 hours. No serious complications occurred in any subject. Conclusions: Our novel bougie procedure is likely a safe, highly efficient approach to managing esophageal coins given that no serious complications of the 63 patients were reported. This simple technique may provide another valuable option to physicians.

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“…The majority of foreign body ingestions occur in the pediatric population, accounting for 75 -85% of patients with foreign bodies in the upper GI tract but edentulous adults are also at greater risk of ingesting foreign bodies, including an obstructing food bolus or their dental prosthesis 1,2 . Coins are the foreign body most commonly ingested in infants and children 3 .…”

Section: Introductionmentioning

confidence: 99%

Case Report on Esophageal Coin Management at District Hospital

Gupta

Sharma²,

Thakali

2018

J. Gandaki Med. Coll. Nepal

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Accidental foreign body ingestion is commonly encountered in the pediatric population, with a peak incidence between the ages of six months and three years. Since the act may go unnoticed, the child may present late. Here, we report a case of an 11 year old boy who present at Lamjung District Hospital after 24 hours of ingestions of two rupee Indian coin. To the best of our knowledge this is the first time we describe a case report on coin removal at district hospital of Nepal. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 58-60

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Safe and effective management of esophageal coins in children with bougienage

Cited by 17 publications

References 13 publications

Endoscopic Foley Catheter Technique for Removal of Esophageal Foreign Body

Endoscopic Foley Catheter Technique for Removal of Esophageal Foreign Body

Novel Bougie for the Management of Esophageal Coins in Children: An Observational Study

Case Report on Esophageal Coin Management at District Hospital

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