Use of Foley Catheter for Removal of Esophageal Foreign Bodies a Survey

1982 ◽  
Vol 91 (6) ◽  
pp. 599-601 ◽  
Author(s):  
W. Frederick McGuirt

A survey was conducted among otolaryngologists, thoracic surgeons, pediatric surgeons and pediatric radiologists to determine the frequency of removal of esophageal foreign bodies with a Foley catheter. The 245 physicians responding reported 1,512 cases, 96% of which were treated with this technique by radiologists and pediatric surgeons. Although no deaths or serious complications were reported, the author warns that increasing use of this procedure by nonendoscopists carries the risk of serious complications unless certain safeguards are taken. These include trained personnel, use of fluoroscopy, a cooperative patient with a single, smooth, radiopaque foreign body lodged in the esophagus and a barium esophagogram with negative results for total obstruction and underlying esophageal disease.

2015 ◽  
Vol 30 (1) ◽  
pp. 59-62
Author(s):  
Philip Jan P. Arenga ◽  
Joebert M. Villanueva

Objective:       To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body. Methods: Study Design:             Preliminary Diagnostic Test Assessment; Consecutive Convenience Sample Setting:                       Tertiary Government Hospital Participants, Patients or Population: Soft gel capsule with barium sulfate was pilot tested on patients with a history and diagnosis of radiolucent foreign body ingestion between June 1 and November 30, 2014. Results: Seven patients (6 males, 1 female; aged 26 – 61 years) underwent the procedure. In all seven, the enhanced capsule immediately stopped above the level of the esophageal foreign body, easily identifying the exact location of the obstruction. Foreign bodies included 1 embryonated duck-egg white “balut”, 5 chunks of pork meat and 1 claspless denture.  All were successfully marked by the capsule on fluoroscopy and documented on X-ray. Esophagoscopy under general anesthesia was successfully performed after fluoroscopy in all patients. Conclusion:    We were able to improvise a new medium for use in modified barium esophagograms that was easy to prepare and that rendered good radiographic imaging and localization of radiolucent foreign bodies. A randomized trial in comparison to the prevailing test may confirm our findings further. Meanwhile, we recommend exploring the procedure in other hospitals as an alternative to barium-soaked cotton in the diagnosis of radiolucent esophageal foreign bodies Keywords: soft gel capsule, barium suphate, esophagogram, esophageal foreign body


PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
Gregory P. Conners ◽  
James M. Chamberlain ◽  
Daniel W. Ochsenschlager

We enjoyed reading the paper by Schunk et al1 regarding the removal of esophageal foreign bodies using the fluoroscopic Foley catheter technique. We feel, however, that their sentence "Because of the potential for serious complications all impacted foreign bodies should be removed" deserves further clarification. Impacted is defined as "pressed firmly together so as to be immovable."2 Therefore, a foreign body that is impacted in the esophagus is one that will not pass to the stomach without an intervention.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Yasin Abdurehim ◽  
Yalkun Yasin ◽  
Qu Yaming ◽  
Zhang Hua

Objective. To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies. Methods. Analyzing our first 17 cases of pediatric esophageal foreign bodies removed by Foley catheter method in respect of the efficacy, removal methods, and complications. We also reviewed related literature and discussed the background, current status, and technical matters that need attention of this method. Results. In three-year period between May 2010 and May 2013, in 16 out of 17 children blunt radiopaque foreign bodies impacted in the esophagus were successfully removed by a Foley catheter. There were no complications. In one patient, the foreign body was advanced into stomach and came out with stool 2 days later. Conclusions. The technique is safe, rapid, and cost-effective procedure and applicable for blunt, flat foreign bodies impacted in the esophagus.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
James E. Arnold ◽  
Diana Radkowski

Dr Schunk and colleagues1 have provided a very clear presentation of their use of the Foley catheter with fluoroscopic guidance for removal of esophageal foreign bodies in children. They cite their high success rate and relative safety and infer that this is the procedure of choice based primarily on cost reduction. They properly point out that fluoroscopic-guided catheter extraction should be applied only to blunt foreign bodies that have been lodged for 3 days or less, and there should be no history of esophageal disease.


2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion


1983 ◽  
Vol 13 (3) ◽  
pp. 116-118 ◽  
Author(s):  
J. B. Campbell ◽  
F. L. Quattromani ◽  
L. C. Foley

1996 ◽  
Vol 105 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Paul S. Lemberg ◽  
David H. Darrow ◽  
Lauren D. Holinger

This study was undertaken in order to establish the incidence of aerodigestive tract foreign body accidents among older children and adolescents, and to investigate the circumstances surrounding these events. A review of patients treated over a 5-year period identified 367 children from whom aerodigestive tract foreign bodies were removed. Seventeen percent of these patients were 5 years of age or older. Among these children, 88% aspirated nonfood items, half of which were school supplies; 78% of the group 5 years old and under aspirated food items. Among older children with esophageal foreign bodies, 31 % had food impactions, compared with 7% in the younger group; 70% of these children had a history of some anatomic abnormality of the esophagus. These data suggest that older children and adolescents represent a distinct group of patients at risk for foreign body accidents. Pediatricians and parents of children in this age group should discourage the practice of using the oral cavity as a repository for school supplies, and should stress the need for adequate preparation and mastication of food, particularly among children with esophageal abnormalities.


Author(s):  
Sunil Kumar ◽  
Devendra Bahadur Singh

ABSTRACT Aspiration or ingestion of a foreign body is well-known in the pediatric as well as in the adult population. The majority of esophageal foreign bodies pass through the gastrointestinal tract without causing complications. However, large sharp foreign bodies like dentures and meat bones can get deeply embedded in the wall leading to life-threatening complications. We report a case of a neglected denture in a 55-year-old patient who presented with an unusual complaint as hoarseness of voice and was removed with the help of rigid esophagoscope. How to cite this article Kumar S, Singh DB. Hoarseness of Voice: Presentation of Neglected Denture Esophagus. Int J Prosthodont Restor Dent 2013;3(1):30-32.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094133
Author(s):  
Shan Yu ◽  
Xiaoming Wang ◽  
Xin Chen

In patients with esophageal foreign bodies such as spherical or similarly shaped objects, a clamp or trap can easily fall off when the esophagus is physiologically narrow during removal of the foreign body by the endoscope. In the present case, a double-forceps-channel endoscope and double balloon were used to successfully remove a large spherical foreign body from the esophagus.


2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 77-77
Author(s):  
Jinteng Feng ◽  
Kun Fan ◽  
Rui Gao ◽  
Junke Fu ◽  
Guangjian Zhang

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.


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