フォガティオクルージョンカテーテルが有効であったウイスキーボトル破片食道異物症例

Abstract

Swallowed objects may be true esophageal foreign bodies, such as coins, dentures, press-through-pack etc., and several methods has been used for the removal of esophageal foreign bodies. We experienced a case of a successful Fogarty occlusion catheter extraction of a piece of glass from the upper thoracic esophagus.The patient was a 34-year-old male, who swallowed broken pieces of a whisky bottle for suicide. The thoracic CT and esophageal fluoroscope showed the shadow of a foreign body in the upper thoracic esophagus, and surgery was performed under general anesthesia. We tried to remove the foreign body with a rigid esophagoscope and forceps, but it was firmly affixed to the esophageal wall. We inserted a Foley catheter over the foreign body with a pair of forceps, but it was too short and allowed insufficient expansion of the balloon for removing the foreign body. Therefore, we inserted a Fogarty occlusion catheter over the foreign body with the forceps, inflated the balloon on the gastric side, and drew out the catheter together with the foreign body. No complications occurred.We disccussed the usefulness of a Fogarty occlusion catheter for the removal of an esophageal foreign body in this paper.