Esophageal Foreign Body: An Uncommon Cause of Stridor

PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 657-658
Author(s):  
John W. Tauscher
Keyword(s):  
Foreign Body ◽  
Aspiration Pneumonia ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Inspiratory Stridor ◽  
Appropriate Treatment ◽  
Esophageal Foreign Bodies

Esophageal foreign bodies do not commonly cause inspiratory stridor. Esophageal foreign bodies are considered in the child who presents with anorexia, dysphagia, and drooling. This diagnosis is not so readily apparent when the child has the symptom of stridor only.1 The diagnosis must be made early and appropriate treatment initiated. Undue delay can lead to complications such as esophageal ulcerations, stenosis, perforation, mediastinitis or aspiration pneumonia. The otolaryngological and radiological literature has placed more emphasis on inhaled and ingested foreign bodies than has the pediatric literature.

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 Ekstraksi benda asing gigi palsu di esofagus dengan esofagotomi servikal

2012 ◽  
Vol 42 (1) ◽  
Author(s):  
Arie Cahyono ◽  
Bambang Hermani ◽  
Fachri Hadjat ◽  
Sukri Rahman
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Effective Procedure ◽  
Optimal Conditions ◽  
Esophageal Foreign Body ◽  
Esophageal Foreign Bodies

Background: Foreign body in the esophagus should be removed as soon as possible under optimal conditions to prevent complications. Esophagoscopy is a safe and effective procedure for foreign bodies removal in most cases, but in some cases esophagoscopy could not be performed or failed to extract the foreign body, necessitating surgery such as esophagotomy. Objective: To illustrate the cervical esophagotomy technique as a management of esophageal foreign bodies. Case: A 53-years old woman with a foreign body (dentures) in the esophagus that failed to be removed by esophagoscopy and need cervical esophagotomy. Management: Cervical esophagotomy was performed after esophagoscopy failed to remove the foreign body. Conclusion: Cervical esophagotomy is needed in cases of esophageal foreign body in which of esophagoscopy could not be performed or failed to remove the foreign body. Keywords : foreign body, denture, esophagus, cervical esophagotomy  Abstrak :  Latar Belakang: Benda asing di esofagus harus sesegera mungkin dikeluarkan dalam kondisi yang optimal untuk mencegah terjadinya komplikasi. Esofagoskopi adalah cara yang aman dan efektif untuk ekstraksi benda asing pada sebagian besar kasus, namun pada beberapa kasus tindakan esofagoskopi tidak dapat dilakukan atau gagal mengeluarkan benda asing, sehingga diperlukan tindakan bedah berupa esofagotomi. Tujuan: Kasus ini diajukan untuk mengilustrasikan teknik esofagotomi servikal sebagai penatalaksanaan benda asing esofagus. Kasus: Dilaporkan satu kasus wanita 53 tahun dengan benda  asing gigi palsu di esofagus yang gagal dikeluarkan dengan esofagoskopi sehingga diperlukan tindakan  esofagotomi servikal untuk mengambilnya. Penatalaksanaan: Dilakukan esofagotomi servikal setelah esofagoskopi gagal mengeluarkan benda asing. Kesimpulan: Esofagotomi servikal dilakukan untuk mengeluarkan benda asing di esofagus apabila tindakan esofagoskopi tidak dapat dilakukan atau gagal mengeluarkan benda asing. Kata kunci : benda asing, gigi palsu, esofagus, esofagotomi servikal.

scholarly journals A complication during endoscopic removal of a long esophageal foreign body in an eight-month-old girl

2018 ◽  
Vol 146 (7-8) ◽  
pp. 433-435
Author(s):  
Zlatko Djuric ◽  
Dragoljub Zivanovic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Acute Onset ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
X Ray ◽  
Magill Forceps ◽  
Polypectomy Snare ◽  
Delayed Complications ◽  
Esophageal Foreign Bodies

Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was admitted to our hospital due to an acute onset of dysphagia, drooling, and vomiting. From the result of a plain anteroposterior X-ray, the patient was found to have a long hairpin retained in her esophagus. During endoscopic removal using a polypectomy snare, the hairpin was found to be stuck in the hypopharynx. It could not be removed by moving the scope and placing the patient in different positions. Finally, the hairpin was pulled out using a pair of Magill forceps under the control of a laryngoscope. Conclusion. The Magill forceps can be a very useful tool if a foreign body is stuck in the hypopharynx during an endoscopic removal and should be readily available in any setting where this kind of endoscopic procedure is being performed.

scholarly journals The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body

2015 ◽  
Vol 30 (1) ◽  
pp. 59-62
Author(s):  
Philip Jan P. Arenga ◽  
Joebert M. Villanueva
Keyword(s):  
Foreign Body ◽  
Barium Sulfate ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Convenience Sample ◽  
X Ray ◽  
Diagnostic Test Assessment ◽  
Radiolucent Foreign Body ◽  
Barium Esophagogram ◽  
Esophageal Foreign Bodies

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

scholarly journals Difficulties in treating esophageal foreign bodies in children

2015 ◽  
Vol 62 (3) ◽  
pp. 318-321
Author(s):  
Corneliu Toader ◽  
◽  
Alina Oprea ◽  
Anca Constantin ◽  
Liviu Niculescu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Esophageal Foreign Bodies

The ingress of foreign bodies in the esophagus is relatively easy and, at the same time, frequently, especially during the childhood. Children usually carry to their mouth within easy reach, different objects: seeds, pits/kernels, coins, buttons, food pieces, toys’ pieces, tiny toys, pins, drawing pins, rings, earrings, etc. We present a case of a multiple esophageal foreign body, at which, only the attention and accuracy with which the esophagoscopy was proceeded, has allowed the extraction of the foreign body.

scholarly journals BENDA ASING ESOFAGUS DI BAGIAN/SMF THT-KL BLU RSUP PROF. Dr. R. D. KANDOU MANADO PERIODE JANUARI 2010 - DESEMBER 2014

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Siti N. Marasabessy ◽  
Steward K. Mengko ◽  
Ora I. Palandeng
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Number Of Patients ◽  
The Common ◽  
Esophageal Foreign Bodies

Abstract: Esophageal foreign body is sharp or blunt objects or food stuck and stuck in the esophagus due to ingested, either deliberately or accidentally. Esophagoscopy extraction is the common treatment. This study aimed to obtain the occurance of foreign bodies in esophagus in the THT-KL RSUP Prof. Dr. R. D. Kandou Manado during period January 2010-December 2014, and the pattern of age, gender, and type of foreign bodies that impact esophageal foreign bodies. This study used descriptive-retrospective. Samples were all patients who seek treatment in the THT-KL RSUP Prof. Dr. R. D. Kandou Manado diagnosed as esophageal foreign body, during period January 2010-December 2014. Fivety-two patients had diagnose with esophageal foreign bodies during period January 2010. The group of age 0-10 years had a highest number of patients with 17 cases (32.7%). There was no different between male (25 patients) and female (27 patients). The most common esophageal foreign bodies in all patient was dentures with 25 cases (48.1%) and coins become the second most common foreign bodies in 18 cases (34.6%). Conclusion: The number of patients with esophageal foreign bodies was a small part of the total number of THT-KL cases because these cases were more incidental.Keywords: foreign bodies. esophagus. esophagoscopy.Abstrak: Benda asing esofagus adalah benda yang tajam maupun tumpul atau makanan yang tersangkut dan terjepit di esofagus karena tertelan, baik secara sengaja maupun tidak sengaja. Penatalaksaan yang lazim adalah esofagoskopi ekstraksi untuk mengeluarkan benda asing. Tujuan penelitian ini adalah untuk mengetahui angka kejadian benda asing esofagus di Bagian/SMF THT-KL RSUP Prof. Dr. R. D. Kandou Manado mulai bulan Januari 2010-Desember 2014 dan untuk mengetahui jenis kelamin, golongan umur dan jenis benda asing tersering dalam kasus benda asing esofagus. Penelitian ini menggunakan metode deskriptif-retrospektif. Sampel penelitian adalah semua penderita yang berobat di Bagian/SMF THT-KL RSUP Prof. Dr. R. D. Kandou Manado yang terdiagnosis sebagai benda asing esofagus, mulai bulan Januari 2010-Desember 2014. Lima puluh tiga pasien telah terdiagnosis sebagai benda asing esofagus selama periode Januari 2010-Desember 2014. Golongan umur 0-10 tahun adalah yang paling banyak menjadi pasien benda asing esofagus dengan 17 kasus (32,7%). Tidak ada perbedaan yang cukup berarti antara pasien pria (25 pasien) dan perempuan (27 pasien). Benda asing tersering yang menjadi penyebab benda asing esofagus adalah gigi palsu dengan 25 kasus (48,1%) dan uang logam menjadi benda asing tersering kedua dengan 18 kasus (34,6%). Simpulan : Penderita benda asing esofagus memiliki jumlah yang sedikit dari jumlah keseluruhan kasus THT-KL, karena kasus ini lebih bersifat insiden.Kata kunci: benda asing, esofagus, esofagoskopi

Getting a Better Grip: A Novel Modification to the Dual Snare Technique for Removing Long Esophageal Foreign Bodies

2020 ◽  
Vol 86 (5) ◽  
pp. 541-543
Author(s):  
Joshua Judge ◽  
Anh Le ◽  
Jacek Wecowski
Keyword(s):  
Foreign Body ◽  
General Surgery ◽  
Foreign Bodies ◽  
Gastroesophageal Junction ◽  
Foreign Body Ingestion ◽  
Emergency Setting ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
Common Indication ◽  
Esophageal Foreign Bodies

Foreign body ingestion is a common indication for general surgery consultation in the emergency setting. We report a case of large esophageal foreign body ingestion involving a metallic butter knife lodged at the gastroesophageal junction that required endoscopic removal. Furthermore, we report a novel modification to the dual snare technique of retrieval incorporating a snare placed through a nasogastric tube to facilitate introduction and manipulation of the second snare.

scholarly journals Chronic retained esophageal foreign body: a case report

2021 ◽  
Vol 8 (2) ◽  
pp. 383
Author(s):  
Gurpreet Singh Chhabra ◽  
Anumeet Singh Grover ◽  
Gagandeep Kaur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Respiratory Symptoms ◽  
Foreign Bodies ◽  
Gastrointestinal Symptoms ◽  
Esophageal Foreign Body ◽  
High Incidence ◽  
History Of ◽  
Foreign Body Impaction ◽  
Esophageal Foreign Bodies

Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described. Seventy-six percent of patients presented with a primary complaint of respiratory symptoms, with respiratory distress being the most common followed by asthmatic symptoms and cough. Twenty-two percent of patients had primarily gastrointestinal symptoms including nausea, vomiting and dysphagia. We present a case report of 2year 6month old male with 3 months history of cough and vomiting later diagnosed to be a case of upper esophageal foreign body impaction.

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

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

Chronic inspiratory stridor secondary to a retained penetrating radiolucent esophageal foreign body

2003 ◽  
Vol 38 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Timothy W. Haegen ◽  
Henry A. Wojtczak ◽  
Sandra S. Tomita
Keyword(s):  
Foreign Body ◽  
Esophageal Foreign Body ◽  
Inspiratory Stridor
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