Percutaneous Endoscopic Retrieval of Gizzard Foreign Body in a Goose Using an Operative Telescope

Background: Foreign bodies are most commonly diagnosed in stomach (proventriculus and gizzard) of galliformes birds and waterfowl. Endoscopyis routinely used to assess birds’ respiratory, gastrointestinal and urogenital tracts. Endosurgeryis also used for sex determination and intra-coelomaticorgan biopsy. Benefits of endoscopic approaches are widely reported in birds. Conventional surgical approaches are far more invasive and risky for those patients. Thus, the purpose of this study was to describe a successful case of gizzard foreign body removal in a greylag goose (Anseranser), using a rigid endoscopic approach through a minimally invasive percutaneous access. Case: A 2-year-old female greylag goose, weighting 3,116 g, was referred to a Veterinary Teaching Hospital presenting apathy and anorexia for at least 24 h. The results on hematologic assessment were within normal range for the species. Radiographic examination indicated presence of radiopaque content, resembling gizzard sediment. Thus, the patient undergone to endoscopy for examination and aspiration of the content. The goose was fasted for 6 h. Anesthesia was induced by face mask and maintained by endotracheal tube, using isoflurane vaporized in 100% oxygen. The patient was positionedin the lateral recumbence. The patient’s neck was longer than the working length of the rigid endoscope. Thus, the telescope was inserted into the esophagus following a small distal esophagotomy, carried out on the caudal third of the neck. A 0º 10-mm operative rigid telescope, with a 6-mm working channel, and a 5-mm diameter and 42-cm in length laparoscopic Babcock forceps were used. The endoscope was inserted through the esophagotomy up to the ventricle level. Sand sediments and stones were viewed. The stones were grasped and retrieved, and the sediments were rinsed with normal saline solution and aspirated with a suction cannula through the working channel of the telescope. Inspection following sediment and foreign body retrieval revealed moderate inflammation of the gizzard mucosa. Total procedure time was 24 min. The patient recovered uneventfully and was discharged following 72 h. Discussion: Rigid endoscopy provided accurate visualization of the thoracic esophagus, proventriculus and gizzard. In general, endosurgery is usually employed for sex determination in birds. It is also useful to access digestive tract using rigid endoscopy, in order to remove foreign body. Such minimally approach reduces postoperative morbidity, which is usually seen following conventional surgical approaches. This technique has been used for removal of foreign body in the digestive tract of several species. Foreign bodies found within crop should require ingluviotomy. However, could be easily removed by endoscopy. If the foreign body is within the proventriculus or gizzard, rigid endoscopy may be useful, as celiotomy could cause morbidity. The small esophagotomy access at the base of the neck was essential for the procedure. In short-necked birds, a 30º Trendelenburg positioning provides more caudal access to the digestive tract. In this case, such positioning was unnecessary. In conclusion, the use of an operative telescope provided accurate retrieval of foreign bodies and drainage of sediments within the digestive tract. Moreover, it can be used as a minimally invasive approach to foreign bodies in the esophagus, crop or stomach (esophagus and gizzard) of geese.

Download Full-text

Foreign bodies in adult upper digestive tract: a series of 30 cases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180728 ◽

2018 ◽

Vol 4 (2) ◽

pp. 575

Author(s):

Nirmal Kumar Jayaraman ◽

Vikram V. J. ◽

Kalaiselvi M. ◽

Sudha M.

Keyword(s):

Foreign Body ◽

General Anaesthesia ◽

Digestive Tract ◽

Foreign Bodies ◽

Flexible Endoscopy ◽

Oesophageal Perforation ◽

Rigid Endoscopy ◽

Upper Digestive Tract ◽

Madras Medical College ◽

Sharp Foreign Body

Background: Rigid endoscopy under general anaesthesia has traditionally been used by otolaryngologist for diagnosis and management of variety of disorders affecting the upper digestive tract including the removal of foreign body. Smooth foreign bodies does not pose much threat but may cause airway obstruction. Sharp foreign bodies, if not removed the earliest may penetrate oesophageal wall and cause complications.Methods: A Retrospective analysis was done for patients who underwent rigid oesophaghoscopy under general anaesthesia for 30 patients of foreign body ingestion at Upgraded Institute of Otorhinolaryngology, Madras Medical College, Chennai, between November 2016 – November 2017. The records of age, sex, co-morbidities, X-ray finding, complications were recorded. Results: Majority of adults in this group belonged to 40-50 years age. The most common foreign body impacted was chicken bone totalling 16. 2 patients of denture ingestion were referred for flexible endoscopy after failed attempt, 1 developed oesophageal perforation.Conclusions: Rigid endoscopy is the gold standard for removal of sharp foreign body as the sharp ends can be clasped and brought in to the endoscope there by preventing damage to the mucosa. Foreign body with multiple sharp ends which cannot be negotiated into rigid endoscope, should be pushed into the stomach and attempted removal by cutting sharp ends of foreign body or by gastrostomy, as pulling such foreign body will lead to full length tear of oesophagus leading to morbidity and mortality.

Download Full-text

Unusual foreign body in the upper digestive tract: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181885 ◽

2018 ◽

Vol 4 (3) ◽

pp. 850

Author(s):

Snigdha Elaprolu ◽

Gowri Sankar Marimuthu ◽

Raghul Sekar ◽

Sunil Kumar Saxena

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Psychiatric Patients ◽

Unusual Foreign Body ◽

Upper Digestive Tract ◽

Entire Gastrointestinal Tract

Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.

Download Full-text

Perforating urinary bladder foreign body managed with minimally invasive surgery

Eastern Journal of Medical Sciences ◽

10.32677/ejms.v6i2.3017 ◽

2021 ◽

pp. 44-46

Author(s):

Ishita Laha ◽

Shahid Hameed ◽

Swapnil Sen ◽

Kalyan Kumar Sarkar

Keyword(s):

Minimally Invasive Surgery ◽

Foreign Body ◽

Urinary Bladder ◽

Minimally Invasive ◽

Invasive Surgery ◽

Foreign Bodies ◽

Bladder Wall ◽

Clinical Impact ◽

Minimally Invasive Procedures ◽

Invasive Procedures

Foreign bodies are occasionally reported in the urinary bladder, especially in females. The consequences and clinical impact depend on the route of insertion and the patient’s hemodynamic condition, and their removal may include minimally invasive procedures to open cystostomy. In most cases, foreign bodies are removed through transurethral approach. Here, we report one such case of a foreign body in the urinary bladder, which was self-inserted and had perforated through the bladder wall, yet could be successfully managed by cystoscopic removal without any complications.

Download Full-text

Transorbital penetrating injury of the skull base and cavernous sinus - defining a minimal invasive treatment

Vojnosanitetski pregled ◽

10.2298/vsp200529106j ◽

2020 ◽

pp. 106-106

Author(s):

Bojan Jelaca ◽

Djula Djilvesi ◽

Papic Vladimir ◽

Filip Pajicic ◽

Milan Lepic ◽

...

Keyword(s):

Foreign Body ◽

Minimally Invasive ◽

Skull Base ◽

Cavernous Sinus ◽

Penetrating Trauma ◽

Minimal Invasive ◽

Surgical Approaches ◽

Invasive Treatment ◽

Minimal Invasive Treatment ◽

Therapeutic Problem

Introduction. A transorbital intracranial injury with a foreign body can be a very complex and controversial therapeutic problem. The orbit's content is susceptible to penetrating trauma, and neurovascular skull base structures are at high risk from injury. There are some traditional cranial surgical approaches, and more recently reported different endoscopic approaches for treating this kind of injury. Case report. We present a case of a 30-year-old male who had an accident at work when a piece of wood hit him in his head and entered through the medial aspect of his left orbit with skull base and cavernous sinus injury. Rapid and complete radiological and clinical assessments were performed, and the patient was treated in a minimally invasive manner. The foreign body was manually extracted with an endoscopic and endovascular team ready to treat adverse events. No postoperative complications were reported, and visual acuity increased at one month follow up. Conclusion. Penetrating wounds of the orbit represent a challenge that requires a multidisciplinary assessment and well-organized management. Combined endoscopic minimally invasive approaches should be considered during the treatment of this kind of injury.

Download Full-text

Extraluminal Migration of Foreign Body: A Report of Two Cases

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1150 ◽

2013 ◽

Vol 4 (2) ◽

pp. 98-101 ◽

Cited By ~ 3

Author(s):

K Ramachandran ◽

GM Divya ◽

A Shahul Hameed ◽

KV Vinayak

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Vascular Complications ◽

Neck Exploration ◽

Upper Digestive Tract ◽

Life Threatening ◽

Ingested Foreign Body ◽

Head Neck

ABSTRACT Ingested foreign body is one of the most frequently encountered emergencies in otolaryngology practice. Many of these foreign bodies get lodged in the upper digestive tract and can be removed endoscopically. Few of these foreign bodies can perforate the upper digestive tract and an even smaller number of these can migrate extraluminally. Although, a migrating foreign body can remain quiescent, they can cause life-threatening suppurative or vascular complications; hence, location and removal is essential. Here we report two cases of extraluminal migration of foreign body which was removed by neck exploration. How to cite this article Divya GM, Hameed AS, Ramachandran K, Vinayak KV. Extraluminal Migration of Foreign Body: A Report of Two Cases. Int J Head Neck Surg 2013;4(2):98-101.

Download Full-text

690 MINIMALLY INVASIVE APPROACH FOR ESOPHAGEAL LEIOMYOMA

Diseases of the Esophagus ◽

10.1093/dote/doab052.690 ◽

2021 ◽

Vol 34 (Supplement_1) ◽

Author(s):

Norberto Daniel Velasco Hernandez ◽

Héctor Rául Horiuchi ◽

Lucas Abal ◽

Matías Sabatini ◽

Agustina Redondo ◽

...

Keyword(s):

Minimally Invasive ◽

Prone Position ◽

Surgical Approaches ◽

Barium Swallow ◽

Esophageal Leiomyoma ◽

Old Patients ◽

Invasive Approach ◽

Endoscopic Stent ◽

Common Benign Tumor ◽

History Of

Abstract Esophageal leiomyoma is the most common benign tumor of the esophagus. Although enucleation via thoracotomy has been considered standard treatment, minimally invasive surgery is increasingly used for the treatment of this disease. The authors report the clinical outcomes of three procedures for enucleation. Methods From November 2011 to December 2020, 3 females (52, 58, and 67 years old) patients were treated for leiomyoma of the middle third of the esophagus. A history of dysphagia and chest pain was present. Upper gastrointestinal endoscopic, computerized tomography, and endoscopic ultrasound were performed, in only one case barium swallow was used. Results The surgical approaches included right thoracoscopy in prone position, enucleation, and small thoracotomy for removing the specimen. There were no major morbidities, including deaths. One patient presented a leak, which was resolved with an endoscopic stent. Conclusion Minimally invasive enucleation of esophageal leiomyoma can be performed effectively and safely. Right thoracoscopic in prone position for the removal of esophageal leiomyomas may be recommended as the treatment of choice in centers experienced with esophageal surgery.

Download Full-text

Transorbital Endoscopic Surgery for Sphenoid Wing Meningioma: Long-Term Outcomes and Surgical Technique

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0040-1713854 ◽

2020 ◽

Vol 81 (04) ◽

pp. 357-368

Author(s):

N. Goncalves ◽

D.E. Lubbe

Keyword(s):

Minimally Invasive ◽

Endoscopic Surgery ◽

Case Series ◽

Surgical Approaches ◽

Benign Tumors ◽

Long Term Outcomes ◽

Invasive Approach ◽

Visual Outcomes ◽

Presenting Symptoms

AbstractSphenoid wing meningiomas are benign tumors that can result in proptosis, visual impairment, and pain. Traditional open surgical approaches are associated with significant morbidity. Transorbital endoscopic surgery has been developed as a minimally invasive approach to gain access to these tumors and address the main presenting symptoms. Case series reporting transorbital endoscopic resection of sphenoid wing meningiomas using combined endonasal, pre-caruncular, and extended superior eyelid approaches have demonstrated stable and/or improved short- and medium-term visual outcomes. Earlier medial optic nerve decompression appears to result in more favorable long-term visual outcomes. Transorbital endoscopic surgery therefore represents an emerging minimally invasive alternative to deal with these challenging lesions.

Download Full-text

Evolution of Transanal Total Mesorectal Excision

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0039-3402773 ◽

2020 ◽

Vol 33 (03) ◽

pp. 113-127

Author(s):

Heather Carmichael ◽

Patricia Sylla

Keyword(s):

Minimally Invasive ◽

Total Mesorectal Excision ◽

Surgical Techniques ◽

Colorectal Disease ◽

Surgical Approaches ◽

Transanal Total Mesorectal Excision ◽

Rectal Disease ◽

Mesorectal Excision ◽

Invasive Approach ◽

Transanal Approach

AbstractMinimally invasive techniques continue to transform the field of colorectal surgery. Because traditional surgical approaches for rectal cancer are associated with significant mortality and morbidity, developing less invasive approaches to this disease is paramount. Natural orifice transluminal endoscopic surgery (NOTES), commonly known as “no incision surgery,” represents the ultimate minimally invasive approach to disease. Although transgastric and transvaginal approaches for NOTES surgery were the initially explored, a transrectal approach for colorectal disease is intuitive given that it makes use of the resected organ for transluminal access. Furthermore, the transanal approach allows for improved, precise visualization of the presacral mesorectal plane compared with an abdominal viewpoint, particularly in the narrow, male pelvis. Finally, experience with existing transanal platforms that have been used for decades for local excision of rectal disease made the development of a transanal approach to total mesorectal excision (TME) feasible. Here, we will review the evolution of minimally invasive and transanal surgical techniques that allowed for the development of transanal TME and its introduction into clinical practice.

Download Full-text

Robotic Stereotactic Assistance (ROSA) for Pediatric Epilepsy: A Single-Center Experience of 23 Consecutive Cases

Children ◽

10.3390/children7080094 ◽

2020 ◽

Vol 7 (8) ◽

pp. 94

Author(s):

Jonathon H. Nelson ◽

Samantha L. Brackett ◽

Chima O. Oluigbo ◽

Srijaya K. Reddy

Keyword(s):

Minimally Invasive ◽

Pediatric Patients ◽

Case Series ◽

Intractable Epilepsy ◽

Electrode Placement ◽

Perioperative Outcomes ◽

Surgical Approaches ◽

Single Center ◽

Invasive Approach ◽

Ablative Surgery

Robotic assisted neurosurgery has become increasingly utilized for its high degree of precision and minimally invasive approach. Robotic stereotactic assistance (ROSA®) for neurosurgery has been infrequently reported in the pediatric population. The goal of this case series was to describe the clinical experience, anesthetic and operative management, and treatment outcomes for pediatric patients with intractable epilepsy undergoing ROSA® neurosurgery at a single-center institution. Patients who underwent implantation of stereoelectroencephalography (SEEG) leads for intractable epilepsy with ROSA® were retrospectively evaluated between August 2016 and June 2018. Demographics, perioperative management details, complications, and preliminary seizure outcomes after resective or ablative surgery were reviewed. Nineteen children who underwent 23 ROSA® procedures for SEEG implantation were included in the study. Mean operative time was 148 min. Eleven patients had subsequent resective or ablative surgery, and ROSA® was used to assist with laser probe insertion in five patients for seizure foci ablation. In total, 148 SEEG electrodes were placed without any perioperative complications. ROSA® is minimally invasive, provides superior accuracy for electrode placement, and requires less time than traditional surgical approaches for brain mapping. This emerging technology may improve the perioperative outcomes for pediatric patients with intractable epilepsy since large craniotomies are avoided; however, long-term follow-up studies are needed.

Download Full-text

Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.6-wit.4858 ◽

2021 ◽

Vol 37 (6-WIT) ◽

Author(s):

Na Liu

Keyword(s):

Foreign Body ◽

Success Rate ◽

Digestive Tract ◽

Nursing Care ◽

Foreign Bodies ◽

Nursing Intervention ◽

Image Guided ◽

Upper Digestive Tract ◽

Endoscopic Image ◽

Upper Gastrointestinal

Objective: This study used phased array imaging algorithm to explore the epidemiological characteristics of endoscopic treatment of upper gastrointestinal foreign bodies to provide a basis for nursing intervention. Methods: We collected data on the age, sex, cause, type of foreign body, success rate of removal, retention location, time and complications of patients with foreign bodies in the upper gastrointestinal tract who were treated in the emergency department of the Digestive Endoscopy Center in our hospital. The study was conducted from January 2018 to December 2020 and we also performed statistical analysis. Results: The high incidence of foreign bodies in the upper digestive tract was in 45 years old to 74 years old patients. The foreign body types were mostly food balls and sharp foreign bodies, accounting for 37.0% and 44.2%, respectively. The cause was misuse and the most accounted for 52.1%, followed by oesophageal pathological stenosis which accounted for 45.5%. The oesophagus in the retention site accounted for up to 80.0%, and the success rate of foreign body extraction was 96.4%. The complications of patients with foreign body retention within twenty four our retention were mainly esophageal scratches and traumatic esophagitis, accounting for 48.5%. 39.6%. Conclusion: There are high risks in the treatment of foreign bodies in the upper digestive tract. Targeted, prospective, and streamlined nursing interventions can provide patients with fast and professional medical care services and minimize patient pain. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 How to cite this:Liu N. Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications. Pak J Med Sci. 2021;37(6):1636-1640. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Download Full-text