Transdiaphragmatic Gastrotomy for the Extraction of Distal Esophageal Foreign Bodies in 13 Dogs (1997–2016)

2020 ◽  
Vol 56 (1) ◽  
pp. 17-22
Author(s):  
Anna Delligianni ◽  
Lysimachos G. Papazoglou ◽  
Ioannis Savvas ◽  
Georgios Kazakos ◽  
Michail Patsikas ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Clinical Results ◽  
Endoscopic Management ◽  
Animal Bones ◽  
Foreign Body Extraction ◽  
Foreign Body Obstruction ◽  
Esophageal Foreign Bodies

ABSTRACT The records of 13 dogs with distal esophageal foreign body obstruction not amenable to endoscopic management that had transdiaphragmatic gastrotomy (TG) for the foreign body extraction were reviewed. West Highland white terriers were over-represented. Mean age of the dogs at presentation was 38.6 mo, and mean duration of clinical signs associated with esophageal foreign bodies was 5.8 days. A TG was performed via an eighth or ninth left intercostal thoracotomy, and clinical results were successful in 12 dogs. In 1 dog, gastrotomy failed to retrieve a foreign body and esophagotomy was performed. Foreign bodies that were removed included 3 fishhooks and 10 animal bones. Postoperatively, all dogs developed esophagitis, 1 dog showed esophageal stricture, and 1 dog died of pyothorax associated with esophageal perforation 1 day postsurgery. Overall, 12 dogs survived and were free of clinical signs after a median follow-up time of 17 mo. TG is an effective surgical technique for the retrieval of distal esophageal foreign bodies.

Results of Transthoracic Esophagotomy Retrieval of Esophageal Foreign Body Obstructions in Dogs: 14 Cases (2000–2004)

2006 ◽  
Vol 42 (6) ◽  
pp. 450-456 ◽  
Author(s):  
Charles S.H. Sale ◽  
John M. Williams
Keyword(s):  
Foreign Body ◽  
Postoperative Complications ◽  
Recovery Rate ◽  
Clinical Signs ◽  
Clinical Results ◽  
Esophageal Foreign Body ◽  
Foreign Body Retrieval ◽  
Foreign Body Obstruction

The records of 14 consecutive cases of esophageal foreign body obstruction in dogs that had undergone transthoracic esophagotomy for foreign body retrieval were reviewed. Clinical results were considered successful in 13 of 14 dogs. One dog was euthanized at surgery because of the severity of associated thoracic lesions. Clinical signs resolved in the remaining 13 dogs. Two dogs had postoperative complications. One dog developed a pyothorax, and one dog developed a subcutaneous seroma. The overall recovery rate was 93%.

scholarly journals Anesthesia for Removal of Foreign Bodies in Lower Respiratory Tracts in Souro Sanou University Hospital Center in Bobo-Dioulasso: About 46 Cases

2018 ◽  
Vol 5 (3) ◽  
pp. 3625-3629
Author(s):  
Barro SD ◽  
Tankoano A I ◽  
Ouedraogo RW-L ◽  
Guibla I
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Anesthetic Management ◽  
University Hospital ◽  
Foreign Body Extraction ◽  
Bobo Dioulasso ◽  
Consultation Time ◽  
Hospital Center

Introduction : The inhalation of foreign body is a common cause of respiratory distress in children. Anesthesia for this endoscopy represents a challenge for the anesthesiologist. Objective : To assess the anesthetic management of foreign body extraction of the lower respiratory tracts in a context of limited resources. Patients and methods : This is a retrospective study in descriptive aim, over 3 years from 1st January 2014 to 31st December 2016. It involved patients admitted for foreign bodies of the lower respiratory tracts in Resuscitation service and ENT in Souro Sanou University Hospital Center in Bobo-Dioulasso . Results : A total of 46 patients were hospitalized for foreign bodies of the lower respiratory tracts during the study period. The mean age of the patients was 2.6 years ± 8.23. Patients were predominantly male with 27 cases (58.70 %), a sex ratio of 1.42. The foreign bodies were of organic type in 82.60% of the cases, against 17.4 % of non organic. The location of foreign bodies was laryngeal in 03 cases (06.52%), tracheal in 06 cases (13.04%) and bronchial in 37 cases (80.43%). The average consultation time was 3.12 days ± 4.7. The circumstances of discovery were a notion of penetration syndrome in 69.57%, respiratory dyspnea in 91.30%, a queasy cough in 56.52% of cases and a chance discovery in 2.17% of cases. . The foreign bodies were radio-opaque in 17.39% of cases. Extraction of foreign bodies was performed under general anesthesia. In intraoperative operating room, incidents / accidents were noted in 23.91 %. Operative follow-up was simple in 82.60% of cases and complications were recorded in 15.21% of cases. Conclusion : Foreign bodies of the lower respiratory tracts remain a topical issue for the child. The therapeutic treatment is based on the realization of a Laryngo-tracheo-bronchial endoscopy, under general anesthesia by an experienced crew.

Management of Airway and Esophageal Foreign Bodies

1995 ◽  
Vol 112 (5) ◽  
pp. P188-P188
Author(s):  
Lauren D. Holinger
Keyword(s):  
Foreign Body ◽  
Systematic Approach ◽  
Foreign Bodies ◽  
Educational Objectives ◽  
Foreign Body Extraction ◽  
Esophageal Foreign Bodies

Educational objectives: To have a systematic approach to the evaluation of a child with a potential foreign body and to understand the details of the mechanical aspects of foreign body extraction.

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

scholarly journals Endoscopic management of foreign bodies in the upper gastrointestinal tract

2017 ◽  
Vol 4 (10) ◽  
pp. 3277
Author(s):  
Pramod Mirji ◽  
Vikas Daddenavar ◽  
Eshwar Kalburgi
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Definitive Treatment ◽  
Endoscopic Management ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Age Range ◽  
Upper Gastrointestinal

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period.Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective. 

Outcome, complication and follow-up of patients with esophageal foreign body impaction: an academic institute’s 15 years of experience

2020 ◽  
Vol 33 (5) ◽  
Author(s):  
Seyed Farzad Marashi Nia ◽  
Mohamad Aghaie Meybodi ◽  
Richard Sutton ◽  
Ajay Bansal ◽  
Mojtaba Olyaee ◽  
...  
Keyword(s):  
Foreign Body ◽  
Adverse Events ◽  
Medical Center ◽  
Endoscopic Management ◽  
First Episode ◽  
Esophageal Foreign Body ◽  
Significant Difference ◽  
Foreign Body Impaction ◽  
Push And Pull

Summary Esophageal foreign body impaction (EFBI) is a gastrointestinal emergency, mostly requiring endoscopic management. The aim of this study is to evaluate the epidemiology, adverse events, and outcomes of patients following the episode of EFBI. All esophagogastroduodenoscopy (EGD) reports of admitted patients for EFBI at the University of Kansas Medical Center between 2003 and 2018 were retrospectively reviewed. Of 204 patients, who met the inclusion criteria, 60% were male and the mean age was 54.7 ± 17.7 years. The encounter was the first episode of EFBI in 76% of cases. EGD in less than 24 hours of patients’ admission was required in 79% of cases. The distal esophagus was the most common site of impaction (44%). Push and pull techniques were used in 38 and 35.2% of cases, respectively, while 11% were managed by a combination of both techniques. Structural causes were the most common etiologic findings including benign strictures and stenosis in 21.5% of patients, followed by Schatzki’s ring (7.8%) and hiatal hernia (6.9%). Of all cases, 45% did follow-up in up to 1 year, and biopsy was done in 34% of cases. Out of 43 patients who had endoscopic findings suspicious for eosinophilic esophagitis (EoE), the diagnosis was confirmed by pathology in 37. The rate of recurrence EFBI was significantly higher in patients with EoE (P < 0.001). EFBI-related esophageal adverse events (AEs) occurred in 4.9% of cases. Cardiovascular and pulmonary AEs occurred in 1.5 and 2.9%, respectively. Logistic regression did not find any predictor for AEs occurrence. EFBI managed very well with endoscopic treatments. Despite the emerging data about the safety of the push technique, there are still concerns regarding its adverse events especially the risk of perforations. Our study shows no significant difference in adverse events between different types of techniques.

scholarly journals An uncommon localisation of a vegetal foreign body in a dog: a case report

2017 ◽  
Vol 62 (No. 10) ◽  
pp. 579-582
Author(s):  
F. Del Signore ◽  
R. Terragni ◽  
A. Carloni ◽  
L. Stehlik ◽  
P. Proks ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Subcutaneous Tissue ◽  
Clinical Signs ◽  
The Body ◽  
Whole Body ◽  
Easy Access ◽  
Post Contrast ◽  
Grass Seed

The goal of this study was to describe the ultrasonographic and computed tomographic appearance of a penile foreign body in a dog for the first time. We describe an unusual penile localisation of a grass seed awn in an 11-year-old mixed-breed dog referred for a computed tomography study after a severe haemorrhage from the penis. A fistulous tract was observed after plain and post-contrast whole-body computed tomography acquisition; the foreign body was localised with ultrasound and removed under ultrasonographic guidance, with the complete healing of the penile lesion. Grass awns are common foreign bodies in dogs and cats and are commonly localised in the ear canal, subcutaneous tissue, interdigital space, eyelid, conjunctiva and nasal or oral cavity. These foreign bodies pose a threat due to their peculiar structure, which facilitates their easy access to the affected area and their transit through the body. Clinical signs are often non-specific, and imaging modalities such as ultrasonography and computed tomography are useful techniques for localisation. Our report demonstrates that the combination of computed tomography and ultrasound techniques was crucial for the exact localisation and mini-invasive retrieval of the grass seed.

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.

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.

scholarly journals Endoscopic Management of Foreign Body Impaction in the Upper Gastrointestinal Tract in a Tertiary Care Centre of Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 36-40
Author(s):  
A. Shrestha ◽  
R.B. Gurung ◽  
P. Sharma ◽  
R. Shrestha ◽  
P. Shrestha
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Upper Gastrointestinal Tract ◽  
Endoscopic Management ◽  
Tertiary Care Centre ◽  
Male Predominance ◽  
Foreign Body Impaction ◽  
Upper Gastrointestinal

Background Ingested foreign body impaction on upper gastrointestinal tract is common incidence among children, older age group, mentally challenged individuals, and people the influence of alcohol. In most cases, the foreign bodies pass spontaneously and uneventfully but when this does not occur; endoscopic management to ensure removal under direct visualization is required. Relief upon removal of foreign body and prevention of complications is essential. Objective To assess the endoscopic management and outcome of foreign body impacted in the upper gastrointestinal tract. Method This is a hospital based observational retrospective cross sectional study involving 165 patients at Endoscopy Department of Dhulikhel Hospital in Nepal between November 2015 and October 2019. The data regarding the demographic profile, clinical characteristics and endoscopic findings were retrieved and analyzed to determine endoscopic interventions performed, complications and outcomes. Result One hundred and sixty five patients presenting with history of ingestion of foreign body were included in the study. The mean age of the patients was 46.8 ± 19.1 years with male predominance (60%). The most common site of foreign body impaction was oesophagus (70%). The most common foreign body encountered was bone (62.2%) among which chicken bones (91.1%) were most frequent. For the retrieval of sharp-pointed foreign bodies, rat forceps and graspers (45.7%) were most commonly used. Total 14 cases required rigid oesophagoscopy as the foreign body could not be retrieved by flexible endoscopy. Conclusion Foreign body ingestion and its impaction in the upper gastrointestinal tract has been found to be common in endoscopic practise. Early detection and timely removal of foreign bodies is of utmost importance to avoid discomfort to the patient as well as to ensure successful removal without complications.

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