scholarly journals A Chestnut–A Difficult Challenge for an Endoscopist

2019 ◽  
Vol 10 (04) ◽  
pp. 240-241
Author(s):  
Dalia Zykutė ◽  
Romanas Zykus
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Mentally Disabled ◽  
Difficult Challenge ◽  
Frequent Problem ◽  
Disabled Adults

AbstractTrue foreign bodies are a frequent problem in mentally disabled adults and since ingestion is usually intentional, retrieval can be difficult due to unusual, previously in practice not encountered objects. This case illustrates the laborious effort of removing an esophageal foreign body (FB), a chestnut, in a mentally disabled adult.

scholarly journals Airway Complications from an Esophageal Foreign Body

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ismael Garcia ◽  
Joseph Varon ◽  
Salim Surani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Esophageal Foreign Body ◽  
Hypoxemic Respiratory Failure ◽  
Endoscopic Intervention ◽  
Foreign Body Impaction ◽  
Upper Gastrointestinal

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

scholarly journals Foreign bodies in esophagus: our experiences

2018 ◽  
Vol 5 (1) ◽  
pp. 83
Author(s):  
A. G. Naveen Kumar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Medical Science ◽  
Final Diagnosis ◽  
Retropharyngeal Abscess ◽  
Research Centre ◽  
Esophageal Foreign Body ◽  
History Of ◽  
Age Range ◽  
Time Of Admission

<p class="abstract"><strong>Background:</strong> Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.</p><p class="abstract"><strong>Methods:</strong> Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed.  </p><p class="abstract"><strong>Results:</strong> Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.</p><p class="abstract"><strong>Conclusions:</strong> The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.</p>

scholarly journals Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fachzi Fitri ◽  
Deni Amri
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Mental Disorder ◽  
Foreign Bodies ◽  
Radiological Finding ◽  
Esophageal Foreign Body ◽  
Direct Laryngoscope ◽  
Choice Of Treatment ◽  
Foreign Body Extraction ◽  
Ingested Foreign Body

AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

scholarly journals Organic esophageal foreign body, vegetable, rarely in older children

2015 ◽  
Vol 10 (3) ◽  
pp. 303-307
Author(s):  
Corneliu TOADER ◽  
◽  
Alina OPREA ◽  
Anca Simona CONSTANTIN ◽  
Liviu NICULESCU ◽  
...  
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Older Children ◽  
Esophageal Foreign Body ◽  
Esophageal Body

Most foreign bodies ingested or impacted food boluses in the esophagus pass spontaneously to the stomach without requiring an intervention of extracting them. However, in 10-20% of cases, it is necessary to intervene endoscopic to extract the foreign body and, in very rare cases, about 1% surgical intervention for the extraction of the esophageal body is demanded. Sensitive categories for the foreign esophageal bodies are firstly children and rarely the adults. Foreign esophageal bodies are more common in children than in adults, and it is one of the pediatric otorhinolaryngology emergencies. The authors present the case of a 14 years old patient, at whom the esophagoscopy under general anesthesia, which was imperious, has detected a rare vegetal esophageal foreign body.

scholarly journals Simultaneous Esophageal and Tracheal Obstructions Caused by a Pair of Magnetic Beads in a Child: A Case Report

2021 ◽  
Vol 9 ◽  
Author(s):  
Huan Ren ◽  
Dong Shi ◽  
Zhaowei Gu ◽  
Zhiwei Cao
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Medical Personnel ◽  
The Other ◽  
Esophageal Foreign Body ◽  
Esophageal Obstruction ◽  
Pediatric Emergencies ◽  
High Index Of Suspicion

Esophageal and tracheal foreign body ingestion trigger common pediatric emergencies. In this case report, we describe a pediatric patient with simultaneous tracheal and esophageal obstruction caused by foreign bodies. A child aged 2 years and 1 month swallowed a pair of metallic magnetic beads at the same time; one bead entered the trachea and the other bead entered the esophagus. We suspected that the two magnetic beads were mutually attracted and thus became trapped in their respective lumina. The tracheal foreign body was uneventfully removed; this dislodged the esophageal foreign body, which was then excreted. There were no serious complications in the present case, but parents and medical personnel should be mindful of the potential hazards associated with ingestion of multiple magnetic foreign bodies. A high index of suspicion is appropriate. Investigations must be carefully planned. Treatment should not be delayed; the consequences of delay may be serious.

PS01.099: RETROSPECTIVE ANALYSIS OF CLINICAL FEATURES OF 202 CASES WITH ESOPHAGEAL FOREIGN BODIES

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 77-77
Author(s):  
Jinteng Feng ◽  
Kun Fan ◽  
Rui Gao ◽  
Junke Fu ◽  
Guangjian Zhang
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Bodies ◽  
Conflicts Of Interest ◽  
The Elderly ◽  
General Information ◽  
Diagnostic Methods ◽  
Practical Significance ◽  
Esophageal Foreign Body ◽  
Esophageal Foreign Bodies

Abstract Background Esophageal foreign bodies refer to objects that are accidentally or intentionally swallowed, or that are naturally swallowed during medication or eating, temporarily staying in or resting in the esophagus. Esophageal foreign body is one of the common emergency of esophageal surgery, more common in the elderly and children. This paper study clinical features of esophageal foreign body in northwestern China in order to improve the abilities of diagnosis and treatment for the disease. Methods Clinical data of 202 patients admitted in for esophageal foreign body was analyzed retrospectively. The general information of the patients were collected, and the types of foreign bodies, the location, diagnostic methods, methods of taking out and related complications, hospitalization days, et al were analyzed statistically. Results The types of esophageal foreign body included jujube pit (61.8%), animal bones (12.9%) and non-food foreign bodies (24.3%). It mainly occurred in the upper orifice of the esophagus (65.8%). Diagnostic methods were mainly consisted of esophageal angiography (57.9%), chest X-ray (19.8%) and endoscopy (16.4%). Most of the patients (189, 93.6%) were treated with esophagoscopy. Altogether 26 cases presented with complications, and 18 of them were admitted in for jujube pit. Conclusion The main cause of esophageal foreign body is jujube pit. Early diagnose and timely management is essential for the disease. How to guide the population as far as possible to avoid ingesting jujube pit wrongly and reduce the incidence of esophageal foreign body is of practical significance. Disclosure All authors have declared no conflicts of interest.

scholarly journals Unusual Esophageal Foreign Body: A Table Fork

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Emilio Mevio ◽  
Niccolò Mevio
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Medical Emergency ◽  
Esophageal Foreign Body ◽  
Therapeutic Procedures

The presence of an esophageal foreign body (EFB) is a medical emergency requiring urgent evaluation and treatment. Swallowing of foreign bodies is most common in children aged between 6 months and 6 years, in whom it usually occurs during games. In adults, foreign bodies tend to be ingested accidentally together with food. The authors report an unusual case of EFB (a table fork) in an adult and briefly report the clinical presentation and the therapeutic procedures adopted in this case and similar cases.

Analysis of 334 Cases of Pediatric Esophageal Foreign Body Removal Suggests that Traditional Methods Have Similar Outcomes Whereas a Magnetic Tip Orogastric Tube Appears to be an Effective, Efficient, and Safe Technique for Disc Battery Removal

2018 ◽  
Vol 84 (7) ◽  
pp. 1152-1158 ◽  
Author(s):  
P. Benson Ham ◽  
Mark A. Ellis ◽  
Erika L. Simmerman ◽  
Nathaniel J. Walsh ◽  
Alykhan Lalani ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Success Rates ◽  
Esophageal Foreign Body ◽  
Traditional Methods ◽  
Foreign Body Removal ◽  
Orogastric Tube ◽  
Rigid Esophagoscopy ◽  
Procedural Time

Procedures and outcomes for pediatric esophageal foreign body removal were analyzed. Traditional methods of battery removal were compared with a magnetic tip orogastric tube (MtOGT). A single institution retrospective review from 1997 to 2014 of pediatric patients with esophageal foreign bodies was performed. Balloon extraction with fluoroscopy (performed in 173 patients with 91% success), flexible endoscopy (92% success in 102 patients), and rigid esophagoscopy (95% in 38 patients) had excellent success rates. A MtOGT had 100 per cent success in six disc battery patients, when other methods were more likely to fail, and was the fastest. Power analysis suggested 20 patients in the MtOGT group would be needed for significant savings in procedural time. Thirty-two per cent of all foreign bodies and 95 per cent of batteries had complications (P = 0.002) because of the foreign body. Overall, 1.2 per cent had severe complications, whereas 10 per cent of batteries had severe complications (P = 0.04). Each technique if applied appropriately can be a reasonable option for esophageal foreign body removal. Magnetic tip orogastric tubes used to extract ferromagnetic objects like disc batteries had the shortest procedure time and highest success rate although it was not statistically significant. Disc batteries require emergent removal and have a significant complication rate.

Foreign body in the tongue: an unusual site for a common problem

1991 ◽  
Vol 105 (10) ◽  
pp. 849-850 ◽  
Author(s):  
Kalpesh S. Patel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Unusual Site ◽  
Rare Site ◽  
Frequent Problem

AbstractForeign bodies in the upper aerodigestive tract represent one of the commonest ENT emergencies. A case report of a fish bone penetrating the anterior tongue is presented which exemplifies this frequent problem. but at a rare site.

scholarly journals Unsuspected Cause of Respiratory Distress: Unrecognized Esophageal Foreign Body

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Naima Baddouh ◽  
Lahcen Arjdal ◽  
Abdelaziz Raji ◽  
Mounir Bourrous
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Thoracic Esophagus ◽  
Upper Respiratory Tract ◽  
Esophageal Foreign Body ◽  
Presenting Symptoms ◽  
History Of ◽  
Chest X Ray ◽  
Upper Thoracic

Summary. Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling, and vomiting. Revelation by respiratory distress is a rare and unusual condition. Objective. We describe and discuss the case of an esophageal foreign body, in which the patient presented with respiratory distress. Case report. A two-year-old child was admitted to the emergency department for acute respiratory distress. He had no history of choking episodes or dysphagia. Nevertheless, he was brought by his parents several times for a persistent cough and wheezing that was treated as asthma for a month. Pulmonary examination had revealed polypnea, suprasternal recession, scattered snoring, and diffuse wheeze. As part of his assessment, a chest X-ray was demanded. It had shown, as unexpected, a nonmetallic foreign body in the upper thoracic esophagus. A clothing button was removed by hypopharyngoscopy under sedation without any incident. Subsequent follow-up had not shown any complications related to this episode. Conclusion. Large esophageal foreign bodies can impinge on the trachea causing upper respiratory tract signs. We alert clinicians on variation in the presentation of foreign body ingestion, and we emphasize the importance of an early diagnosis and management.

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