Foley Catheter and Esophageal Foreign Bodies

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
James E. Arnold ◽  
Diana Radkowski
Keyword(s):  
Success Rate ◽  
Cost Reduction ◽  
Foreign Bodies ◽  
Foley Catheter ◽  
Esophageal Disease ◽  
Fluoroscopic Guidance ◽  
Relative Safety ◽  
History Of ◽  
Esophageal Foreign Bodies ◽  
Clear Presentation

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.

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

1982 ◽  
Vol 91 (6) ◽  
pp. 599-601 ◽  
Author(s):  
W. Frederick McGuirt
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foley Catheter ◽  
Esophageal Disease ◽  
Negative Results ◽  
Trained Personnel ◽  
Barium Esophagogram ◽  
Esophageal Foreign Bodies

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.

Fluoroscopic Foley Catheter Removal of Esophageal Foreign Bodies in Children: Experience With 415 Episodes

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 709-714
Author(s):  
Jeff E. Schunk ◽  
A. Marc Harrison ◽  
Howard M. Corneli ◽  
G. William Nixon
Keyword(s):  
Success Rate ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Foley Catheter ◽  
Tertiary Care ◽  
Older Children ◽  
Major Complications ◽  
Catheter Technique ◽  
Esophageal Pathology ◽  
Esophageal Foreign Bodies

Objective. This study sought to investigate the safety and efficacy of the fluoroscopic Foley catheter technique (FFCT) for removal of esophageal foreign bodies (EFBs) in children, and to identify factors associated with decreased success. Design/Setting/Patients. An 11-year retrospective review of all pediatric patients undergoing the FFCT for removal of EFBs at a tertiary-care children's hospital was performed. Results. Four-hundred and fifteen cases are reported. The median age was 29 months (range, 4 to 193); children ≤ 24 months accounted for 45% (185) of the cases. Of all episodes 86% (355) involved children without known esophageal pathology. Coins comprised 76% (316) of the EFBs. The FFCT was successful in 91% (378) of the cases. In the 60 episodes involving children with underlying esophageal pathology, the technique had an 83% success rate compared to 92% in children without known pathology (P < .05). There were 290 patients where the duration of impaction was known. The success rate was 96% if the duration was 3 days or less compared to 50% if the duration was longer (P < .0001). Though the overall success in children ≤ 24 months was less than older children (88% vs 94%, P < .05), this effect disappeared when corrected for duration of impaction. Minor complications occurred in 2% of the episodes, and major complications were noted in 1%. Conclusions. The FFCT appears to be a safe and effective method for removal of EFBs especially in children without underlying esophageal lesions and a duration of impaction ≤ 3 days. Major complications are rare.

scholarly journals Esophageal Injury Secondary to Severely Embedded Denture: A Case Report

2021 ◽  
Vol 5 (3) ◽  
pp. 362
Author(s):  
Santiyamadhi Subramanyan ◽  
Komathi Ramachandran ◽  
Ing Ping Tang
Keyword(s):  
Case Report ◽  
Open Surgery ◽  
Foreign Bodies ◽  
Health Sciences ◽  
Esophageal Injury ◽  
Review Of The Literature ◽  
Surgical Extraction ◽  
History Of ◽  
Successful Removal ◽  
Esophageal Foreign Bodies

The incidence of esophageal impacted denture is proportionately increasing as there is increasing number of people wearing denture in current days. Impacted denture has to be removed as soon as possible because the delay can lead to complications. The successful removal of impacted denture in the esophagus in a patient is reported, with a review of the literature. A 52-year-old Malay lady complained of dysphagia with no history of foreign body ingestion. Following unsuccessful attempts of removal via a rigid esophagoscope, open surgery was performed. Without further delay, the impacted denture was removed by cervical esophagotomy, and the patient recovered uneventfully. Esophageal foreign bodies are usually removed by endoscopy. However, in situations where this appears potentially hazardous, such as with impacted denture, open surgical extraction that is promptly performed is a safer option.International Journal of Human and Health Sciences Vol. 05 No. 03 July’21 Page: 362-365

Foley catheter removal of blunt esophageal foreign bodies. Experience with 100 consecutive children

1983 ◽  
Vol 13 (3) ◽  
pp. 116-118 ◽  
Author(s):  
J. B. Campbell ◽  
F. L. Quattromani ◽  
L. C. Foley
Keyword(s):  
Foreign Bodies ◽  
Foley Catheter ◽  
Catheter Removal ◽  
Esophageal Foreign Bodies

Aerodigestive Tract Foreign Bodies in the Older Child and Adolescent

1996 ◽  
Vol 105 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Paul S. Lemberg ◽  
David H. Darrow ◽  
Lauren D. Holinger
Keyword(s):  
Foreign Body ◽  
Children And Adolescents ◽  
Foreign Bodies ◽  
Distinct Group ◽  
Aerodigestive Tract ◽  
Older Children ◽  
Patients At Risk ◽  
History Of ◽  
Group 5 ◽  
Esophageal Foreign Bodies

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.

Letters to the Editor

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
Gregory P. Conners ◽  
James M. Chamberlain ◽  
Daniel W. Ochsenschlager
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foley Catheter ◽  
Letters To The Editor ◽  
Catheter Technique ◽  
Esophageal Foreign Bodies

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.

Foley catheter extraction of blunt esophageal foreign bodies

1986 ◽  
Vol 4 (4) ◽  
pp. 301-306 ◽  
Author(s):  
Peter J. Mariani ◽  
David K. Wagner
Keyword(s):  
Foreign Bodies ◽  
Foley Catheter ◽  
Esophageal Foreign Bodies

scholarly journals An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Orhan Veli Ozkan ◽  
Vecdi Muderris ◽  
Fatih Altintoprak ◽  
Orhan Yagmurkaya ◽  
Omer Yalkin ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
High Risk ◽  
Foreign Bodies ◽  
Fluoroscopic Guidance ◽  
Appendix Vermiformis ◽  
Lower Abdominal Quadrant ◽  
History Of ◽  
Rabbit Meat ◽  
The Right ◽  
Abdominal Quadrant

Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old male visited our clinic complaining of a 4-month history of abdominal pain. The patient inquiry revealed that he had eaten hunted rabbit meat on numerous occasions and had unintentionally ingested three lead pellets. Plain abdominal films and a barium enema showed foreign bodies in the right lower abdominal quadrant. Since the lead pellets were thought to have migrated extraluminally, they were removed through laparotomy under fluoroscopic guidance. An appendectomy was performed. Pathologically, three lead pellets were embedded in the appendix, which showed signs of intramucosal inflammation. Foreign bodies causing appendicitis are rare. However, if stiff or pointed objects enter the appendicular lumen, there is a high risk of appendicitis, perforation, or abdominal pain. An appendectomy was required to remove the ingested lead pellets in the appendix.

scholarly journals Multiple esophageal foreign bodies in an infant: a rare case of serious parental neglect

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Arunabha Chakravarti ◽  
Sunil Garg ◽  
Rahul Bhargava
Keyword(s):  
Foreign Body ◽  
Rare Case ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Parental Neglect ◽  
Rigid Esophagoscopy ◽  
The Family ◽  
History Of ◽  
Esophageal Foreign Bodies

A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1<sup>st</sup> child in the family.

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