Safe Removal of Upper Esophageal Coins by Using Magill Forceps: Two Centers’ Experience

Çetinkurşun, Salih; Sayan, Ali; Demirbağ, Suzi; Surer, Ilhami; Özdemir, Tunç; Arikan, Ahmet

doi:10.1177/000992280604500111

Cited by 19 publications

(15 citation statements)

References 22 publications

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“…In our study 52.63% cases belonged to the group of patients with age less than 20 years which is also reported by Gmeiner et al [11]. In our study FB ingestion was more common in male (1.48:1) which is comparable to other studies [12,13] but in some of the reports there was no gender difference [14]. The patients with ingested FB usually present with dysphagia but some patient may be asymptomatic depending on the size and nature of the FB.…”

Section: Discussionsupporting

confidence: 91%

“…Cricopharynx is the narrowest part of upper digestive tract that's why it is the commonest region for FB lodgment. In 61 cases (16.05%) FB was found in midesophagus which is also reported by others [12]. In all these cases (100%) FB was retrieved through rigid esophagoscopy which is also comparable to the study of Adhikari et al [18] and Hussain et al [19] who also removed FB upper digestive tract with rigid esophagoscopy.…”

Section: Discussionsupporting

confidence: 85%

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Management of Foreign Bodies of Upper Digestive Tract

Wahid

Rehman

Khan

2011

Indian J Otolaryngol Head Neck Surg

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The objective of this study was to determine the management of rigid esophagoscopy for extraction of foreign bodies (FBs) upper digestive tract in a tertiary care hospital. This descriptive study was conducted at the Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from January 2008 to December 2010. This study included 380 patients. After taking detailed history, thorough examination and investigations, a well informed consent was obtained. Rigid esophagoscopy was performed under general anesthesia. The data was analyzed using the statistical program for social sciences (SPSS version 17). Our study with total duration of 3 years included 380 cases constituting 227 male and 153 female, with male:female ratio of 1.48:1. The age of the patients ranged from 1 to 80 years with mean age of 39.39 ± SD 6.81 years. The clinical features of these patients were mainly dysphagia for solids (72.89%) followed by throat pain (18.15%). Site of impaction of FBs was that in 303 cases (79.73%) cricopharynx, in 61 cases (16.05%) mid-esophagus and in 16 cases (4.21%) pyriform fossa was involved. Rigid esophagoscopy was performed in all cases and a variety of FB was extracted from upper digestive tract. The commonest FB was coin 58.42% followed by meat bolus 17.10%. It is concluded from this study that the commonest FB upper digestive tract in children is coin while in adults is meat bolus in this part of the world. Rigid esophagoscopy is still the technique of choice for its extraction and its complication can be minimized if performed by expert hands.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 85%

Management of Foreign Bodies of Upper Digestive Tract

Wahid

Rehman

Khan

2011

Indian J Otolaryngol Head Neck Surg

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“…Yuvarlak cisimlerin özofagusa ilerletilen bir Foley kateter ile çıkarılabileceğini bildiren yayınlar da mevcuttur (5,8) . Özofagus 1. darlığında takılmış olan yabancı cisimler genellikle Magill pensi ile komplikasyonsuz şekilde çıkarılabilirler (4,10,11) . Ancak sivri uçlu YC'lerin Magill pensi ile çıkarılmaları riskli olabilir (9) .…”

Section: Discussionunclassified

Esophageal Foreign Bodies in Children: 2 Years Experience in a Country Hospital

Can¹,

Sayan²,

Mașrabacı³

et al. 2015

Buch

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In our study 19 children with a diagnosis of esophageal foreign body were reviwed according to age, gender, clinical symptoms, radiological findings, the impaction site and the type of the foreign body Results: There were 10 male and 9 female patients. The youngest was 1.5 and the oldest was 15 years old. The most common location (52.5%) of FB detected in esophagus was the first narrowing. We used Magill forceps for removing FB in 52.5% of the patients and rigid esophagoscope in 38.9% of them the most common symptom was refusing feeding and difficult swallowing. Conclusion: A detailed history is essential in patients who has swallowed a foreign body. Pointed and sharp objects usually require emergency intervention. Foreign bodies located in the upper part of esophagus can be removed easily by Magill forceps but rigid esophagoscopy remains a golden standard of removing objects from the esophagus of pediatric patients.

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“…The use of Magill forceps and Foley catheters has been described in the past. 6,11,15,[21][22][23] Mahafza described a series of 75 patients who were taken to the operating room suite and given gas induction, and the coin was removed by an otolaryngologist with Magill forceps if visualized. 6 If the coin was not visualized, the patient was intubated by an anesthesiologist and the coin was removed by rigid esophagoscopy.…”

Section: Discussionmentioning

confidence: 99%