Comparison of Outcomes in Medical Therapy vs Surgical Intervention of Esophageal Foreign Bodies

Introduction: The possibility of foreign body ingestion should be considered in psychiatric patients. In some complicated cases, foreign bodies become problematic and require immediate surgical intervention. Case presentation: A 45-year-old man with schizophrenia swallowed razor blades and pieces of glass resulting in esophageal perforation, pneumothorax, pneumomediastinum and urgent need for surgery. He was presented in shock state but successfully passed post-operative period in the intensive care unit and surgical ward and was ultimately transferred to the psychiatric ward. Conclusion: Management of asymptomatic patients depends on the demographic factors of patients as well as the site affected in the gastrointestinal tract.

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Complications associated with and outcome of surgical intervention for treatment of esophageal foreign bodies in dogs

Journal of the American Veterinary Medical Association ◽

10.2460/javma.21.01.0060 ◽

2022 ◽

pp. 1-6

Author(s):

Andrew James Carey Beer ◽

Tom Hernon ◽

Zoë Halfacree ◽

Ronan A. Mullins ◽

Alison Moores ◽

...

Keyword(s):

Minimally Invasive ◽

Esophageal Perforation ◽

Foreign Bodies ◽

Surgical Intervention ◽

Intraoperative Complications ◽

Invasive Procedure ◽

Long Term Follow Up ◽

Esophageal Foreign Bodies

Abstract OBJECTIVE To identify complications associated with and short- and long-term outcomes of surgical intervention for treatment of esophageal foreign bodies (EFBs) in dogs. ANIMALS 63 client-owned dogs. PROCEDURES Patient records from 9 veterinary hospitals were reviewed to identify dogs that underwent surgery for removal of an EFB or treatment or an associated esophageal perforation between 2007 and 2019. Long-term follow-up data were obtained via a client questionnaire. RESULTS 54 of the 63 (85.7%) dogs underwent surgery after an unsuccessful minimally invasive procedure or subsequent evidence of esophageal perforation was identified. Esophageal perforation was present at the time of surgery in 42 (66.7%) dogs. Most dogs underwent a left intercostal thoracotomy (37/63 [58.7%]). Intraoperative complications occurred in 18 (28.6%) dogs, and 28 (50%) dogs had a postoperative complication. Postoperative complications were minor in 14 of the 28 (50%) dogs. Dehiscence of the esophagotomy occurred in 3 dogs. Forty-seven (74.6%) dogs survived to discharge. Presence of esophageal perforation preoperatively, undergoing a thoracotomy, and whether a gastrostomy tube was placed were significantly associated with not surviving to discharge. Follow-up information was available for 38 of 47 dogs (80.9%; mean follow-up time, 46.5 months). Infrequent vomiting or regurgitation was reported by 5 of 20 (25%) owners, with 1 dog receiving medication. CLINICAL RELEVANCE Results suggested that surgical management of EFBs can be associated with a high success rate. Surgery should be considered when an EFB cannot be removed safely with minimally invasive methods or esophageal perforation is present.

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Esophageal Foreign Bodies in Adults from the View Point of Internal Medicine.

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.53.394 ◽

2002 ◽

Vol 53 (5) ◽

pp. 394-399 ◽

Cited By ~ 2

Author(s):

Osamu Katayama ◽

Shuichi Yamada

Keyword(s):

Internal Medicine ◽

Foreign Bodies ◽

View Point ◽

Esophageal Foreign Bodies

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The Statistics of the Esophageal Foreign Bodies During the Past Six Years and a Half, and a Case of a Man Who died from an Artificial Tooth in the Esophagus Observed in Our Clinic

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.15.282 ◽

1964 ◽

Vol 15 (6) ◽

pp. 282-286 ◽

Cited By ~ 1

Author(s):

Masao Hattori

Keyword(s):

Foreign Bodies ◽

The Past ◽

Esophageal Foreign Bodies ◽

Artificial Tooth

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CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.4.10 ◽

2016 ◽

pp. 63-69

Author(s):

Hoang Cuong Vo ◽

Thanh Dang ◽

Phuong Nam Tran ◽

Thanh Thai Le

Keyword(s):

Foreign Body ◽

Clinical Characteristics ◽

Foreign Bodies ◽

University Hospital ◽

Age Group ◽

Central Hospital ◽

Results Of Treatment ◽

Rigid Esophagoscopy ◽

Flexible Esophagoscopy ◽

Esophageal Foreign Bodies

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

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Prevertebral Thickness and Diagnostic Accuracy of Lateral Neck Radiography for Esophageal Foreign Bodies in Adults

American Journal of Roentgenology ◽

10.2214/ajr.20.24492 ◽

2021 ◽

Vol 216 (1) ◽

pp. W3-W3

Author(s):

Thomas Winter

Keyword(s):

Diagnostic Accuracy ◽

Foreign Bodies ◽

Lateral Neck ◽

Esophageal Foreign Bodies

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The Changing Prognosis of Ulcerative Colitis and Crohn’s Disease by Decades

Crohn's & Colitis 360 ◽

10.1093/crocol/otab008 ◽

2021 ◽

Author(s):

Burton I Korelitz ◽

Judy Schneider

Keyword(s):

Ulcerative Colitis ◽

Inflammatory Bowel Disease ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Medical Therapy ◽

Bowel Disease ◽

Surgical Intervention ◽

Inflammatory Bowel

Abstract We present a bird’s eye view of the prognosis for both ulcerative colitis and Crohn’s disease as contained in the database of an Inflammatory Bowel Disease gastroenterologist covering the period from 1950 until the present utilizing the variables of medical therapy, surgical intervention, complications and deaths by decades.

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Heterotopic caval valve implantation for the management of severe tricuspid regurgitation: a case series

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa428 ◽

2020 ◽

Author(s):

Aidan Sharkey ◽

Ronny Munoz Acuna ◽

Kiran Belani ◽

Ravi K Sharma ◽

Omar Chaudhary ◽

...

Keyword(s):

Medical Therapy ◽

Tricuspid Regurgitation ◽

Surgical Intervention ◽

Symptom Relief ◽

Vena Cava ◽

Case Series ◽

High Morbidity ◽

Severe Tricuspid Regurgitation ◽

Maximal Medical Therapy ◽

Valve Implantation

Abstract Background Severe tricuspid regurgitation (TR) is a complex condition that can be difficult to treat medically, and often surgical intervention is prohibited due to the high morbidity and mortality associated with this intervention. In patients who have failed maximal medical therapy and have progressive symptoms related to their severe TR, heterotopic caval valve implantation (CAVI) offers potential for symptom relief for these patients. Case summary We present two cases of patients with severe TR with symptoms of heart failure that were refractory to medical therapy. Due to extensive comorbidities in these patient’s surgical intervention was deemed unsuitable and the decision was made to proceed with heterotopic CAVI in order to try and control their symptoms. Both patients successfully underwent the procedure and had an Edwards SAPIEN 3 valve (Edwards Lifesciences, Irvine, CA, USA) implanted in the inferior vena cava/right atrium junction. In both patients, there was improvement in the postoperative haemodynamics as measured by invasive and non-invasive methods. Successful discharge was achieved in both patients with improvement in their symptoms. Discussion Selective use of heterotopic CAVI to treat symptomatic severe TR that is refractory to medical therapy may be a viable option to improve symptoms in those patients that are unsuitable for surgical intervention.

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