Cases Of Esophageal Foreign Bodies Research Articles

A case of esophageal foreign body

A case of esophageal foreign body

Frequency and Complications of Button Battery Cell as Foreign Body in Esophagus

Background: Foreign bodies are commonly impacted in the esophagus and button battery cells are one of the foreign bodies, which could be found. Objective: To find out the frequency and complications of button battery cell intake, among the cases of esophageal foreign bodies. Methodology: A cross-sectional study was conducted at the Department of Otorhinolaryngology of Nishtar Hospital, Multan, from December 2017 to November 2018. After getting anesthesia fitness, rigid endoscopy was performed to remove the foreign body in 250 cases. Nasogastric intubation was done kept in place for two weeks before starting oral sips. Antibiotics, steroids, and H2 receptor antagonists were given in cases of the battery cell. Age, type of foreign body, endoscopic findings, level of impaction, and type of complication were documented. Data was put in SPSS 23 and analyzed. Results: Out of 250 cases of foreign bodies in the esophagus, there were 50 (20%) cases of button battery intake, with an age range from 8 months to 8 years. The delay between ingestion and presentation ranged from 3 hours to 28 days. Out of 50 cases of button battery in the esophagus, 20 (40%) developed some complications; One patient developed tracheo-esophageal fistula, 5 developed strictures, 1 developed hydropneumothorax, 2 developed vocal cord paresis, 1 developed stricture as well as aspiration pneumonia and 10 developed minor complications while one patient expired. Conclusion: This study showed that the button battery in the esophagus is quite common in children, which warrants the prompt identification and removal of impacted battery to avoid complications.

A case of esophageal foreign body of fish bone misdiagnosed as acute myocardial infarction

A case of esophageal foreign body of fish bone misdiagnosed as acute myocardial infarction

Clinical analysis of 71 children of foreign bodies in esophagus

Objective To explore and analyze the clinical characteristics and treatment strategy of severe complications caused by children's foreign bodies in esophagus. Methods The clinical data of 71 cases of esophageal foreign bodies in children with ENT admitted to our hospital were analyzed retrospectively from Jan 2009 to Dec 2014. Results Esophageal foreign bodies in children with 71 cases, of whom 42 males and 29 females; aged from 2 months to 14 years old, highest incidence of 1 to 3 years old.Foreign bodies in esophagus lasted 2 h to 15 d. Ingestion of metallic foreign bodies in 43 cases, 12 cases of plant-based foreign body, 9 cases of animal foreign bodies, 7 cases of chemical foreign bodies.Foreign bodies located in the upper esophageal was 51 cases, 9 cases of the middle and 7 cases of the under section, 3 cases of esophageal entrance, 1 case of falling into the stomach.In children with 71 cases, 9 cases had complications, 69 cases were cured, improved in two cases, and the cure rate was 97.2%, the average healing time was 4 d. Conclusion Early diagnosis and treatment, avoid esophageal perforation are the key to avoid the emergence of the complications in children with esophageal foreign bodies, timely and accurate treatment of esophageal perforation and other complications are the effective measures to improve the cure rate. Key words: Esophageal foreign bodies; Complication; Children,

PECULIARITIES OF DIAGNOSIS AND TREATMENT OF THE ESOPHAGEAL FOREIGN BODIES (COINS) IN CHILDREN – CLINICOSTATISTICAL STUDY

Objective. The authors performed a clinical and statistical study on cases of esophageal foreign bodies, with particular reference to ingested coins, admitted and treated in the ENT Department of the “Grigore Alexandrescu” Emergency Hospital for Children, between 01.01.2006 – 01.08.2007. Method and materials. A retrospective study, involving the interpretation and corroboration of the clinical and paraclinical findings of each case study. Results. Of all cases of foreign bodies, coins held the highest percentage; the average length of stay in hospital was 2 days; there were no cases of major complications (esophageal perforation, bleeding by intercepting a large vessel, mediastinitis); were also recorded particular cases that required special attention. Conclusion. All cases were approached and resolved by rigid endoscopy; shortening the time elapsed before presenting to ENT specialist facilitates the therapeutic approach, dramatically lowering the risk of complications; X-ray examination, although essential, can sometimes provide incomplete information, the diagnosis certainty being ensured only by endoscopy.

Caz rar de corp străin esofagian cu manifestări respiratorii

The authors present a clinical case of esophageal foreign body with exclusive respiratory symptomatology, which generated significant diagnostic difficulties. Careful and detailed anamnesis, coupled with a broad range of investigations enabled us to establish the correct diagnosis and proper treatment.

Successful Management of an Esophageal Foreign Body with a Rigid Bronchoscopy

Ingestion of a sharp foreign object can lead to esophageal hemorrhage and perforation, which is related to high morbidity and mortality. To avoid such complications, early and adequate therapeutic management of these cases is crucial. Herein, we would like to present two cases of esophageal foreign bodies that were successfully managed with rigid bronchoscopy after failed attempts with upper gastrointestinal endoscopic intervention.

開胸手術により摘出した食道異物 (義歯) 症例

開胸手術により摘出した食道異物 (義歯) 症例

Unusual Esophageal Foreign Body: A Table Fork

The presence of an esophageal foreign body (EFB) is a medical emergency requiring urgent evaluation and treatment. Swallowing of foreign bodies is most common in children aged between 6 months and 6 years, in whom it usually occurs during games. In adults, foreign bodies tend to be ingested accidentally together with food. The authors report an unusual case of EFB (a table fork) in an adult and briefly report the clinical presentation and the therapeutic procedures adopted in this case and similar cases.

Removal of Rare Esophageal Impacted foreign Bodies Using an Endoscopic Esophageal Balloon Catheter with an Attached PTCA Inflation Device

We herein report two very rare cases of esophageal foreign bodies that were removed using an endoscopic esophageal balloon dilation catheter with an attached percutaneous transluminal coronary angioplasty (PTCA) inflation device. Esophageal food impaction is a common medical emergency that often requires endoscopic therapy. However, the cases we report involve an ume seed and a shell, respectively, which are very rare in food impaction. We attempted to remove the foreign bodies using the usual endoscopic removal technique, but were unable to do so. As an alternative approach, we used an endoscopic esophageal balloon dilation catheter, and this proved to be successful and safe. Therefore, we conclude that this removal technique is useful for difficult cases of food impaction that cannot be treated using the normal procedure.

식도 천공과 식도주위 농양을 동반한 식도 이물 1례

식도 천공과 식도주위 농양을 동반한 식도 이물 1례

当教室過去２１年間の食道異物症例の集計

A statistical study was made of 69 cases of esophageal foreign bodies treated after hospitalization at our clinic during the 21 years from 1978 to 1998 and 20 ambulatory cases of esophageal foreign bodies treated at our clinic during the 9 years from 1990 to 1998. Two peaks were observed in age distribution, one in children below age 4 and the other in elderly people above 70. Coins were found especially in children. Dentures and PTPs were found in the elderly. Cerebrovascular disease was the most common past history.

摘出に工夫を要した食道異物の２症例

Two cases of esophageal foreign bodies were reported. As they were difficult to remove with a rigid esophagoscope and forceps, we used other techniques and could eventually remove them successfully.Case 1 was a 14-month-old boy who complained of vomiting. Since a plain radiogram of his neck and chest revealed a round shadow just at the cricopharyngeal constriction, we made a diagnosis of an esophageal foreign body, and surgery was performed. We tried to remove the foreign body with a rigid esophagoscope and forceps, but it was too smooth for the forceps to hold. Thus we inserted a Foley catheter over the foreign body with the forceps, inflated the balloon on the gastric side, and drew out the catheter with the foreign body. The foreign body turned out to be a marble made of glass.Case 2 was a 69-year-old male who had ingested his dentures by mistake. The radiogram of his neck showed an opaque binding shadow at the cricopharyngeal constriction. Though we tried to remove this with a rigid esophagoscope and forceps, it was firmly affixed to the esophageal wall. When we inserted a rectoscope, instead, and expanded the cricopharyngeal constriction, the foreign body was mobilized and we could remove it successfully.Both of the above cases experienced no severe complications. It is important to diagnose the general condition of patients and the variety of foreign body appropriately in order to better choose the proper method for their treatment.

当教室ＰＴＰ食道異物の統計観察とその対策 全国ＰＴＰ食道異物報告集計

A statistical study was made of 51 cases of PTP (press-through-pack) among 186 cases of foreign bodies in the esophagus at our clinic and of 635 cases obtained from reports in Japan between 1974 and 1994. The results were as follows.1) Our series included 21 males and 30 females aged from 15 to 87 years (mean age: 62.7 years). The incidence of PTP for all cases of esophageal foreign bodies was 27.5%.2) The sites of the PTP were the cervical esophagus (51.0%), the middle esophagus (37.3%), and the lower esophagus (11.6%). However, between males and females, the rate of incidence was higher in the cervical esophagus in females than in males.3) The annual incidence gradually increased from 10.9% (1976) to 44.8% (1994) compared to other esophageal foreign bodies.4) Bleeding and edematous swelling of the esophageal mucosa were observed in all cases during operations. Some revealed granulation around the foreign bodies without perforation.5) Treatments were performed under open tube esophagoscopy under general anesthesia, except in one case.6) 635 cases were obtained from reports in Japan. Their ages ranged from 9 to 92 years, and females showed a higher incidence of PTP than males. Also, annual incidence increased in older persons, especially in females.7) To avoide the PTP esophageal foreign bodies, the forms and materials of PTP were discussed from the veiwpoint of medical institutes, pharmacologists and patients.

当教室１１年間の食道・下気道異物症例の臨床統計的検討

A statistical study was made of 137 cases of esophageal and 10 cases of tracheobronchial foreign bodies treated in our clinic during the 11 years from 1983 to 1993. The results were as follows:1) Of the 137 cases of esophageal foreign bodies, 68 were males and 69 were females. There were no year-to-year changes in the incidences and sex distributions.2) Two peaks were observed in the age distribution of the esophageal foreign bodies, one in infants under 9 years old and the other in adults over 50. These were especially prominent in male infants and female adults.3) The foreign objects were PTPs (press through pack for medicine, 24%), coins (21%), fish bones (17%), artificial teeth (11%) and others. The most frequent object in the infants was coins; on the other hand, PTPs, fish bones, artificial teeth and pieces of meat were frequently observed in adults.4) The present results indicate that the incidence of the elderly people over 70 and the percent of PTP foreign bodies of our clinic were higher than reported elsewhere.5) Of the 10 cases of tracheobronchial foreign bodies, 7 were males and 3 were females. The annual incidence has not changed markedly.6) Eighty percent of the total tracheobronchial foreign body cases were under 2 years old, and 20 percent were over 70 years old.7) Beans were the most common tracheobronchial foreign bodies in infants, and false teeth were found in 2 cases of elderly people. Foreign bodies were more often seen in the right bronchus.8) In order to prevent esophageal and tracheobronchial foreign bodies, it is necessary to emphasize the dangerous features of PTP, fish bones and artificial teeth to elderly people and their families, in addition to the danger of coins and beans to the parents of infants.

当科における咽頭,食道,気管・気管支異物の統計

Eighty-one cases of pharyngeal, esophageal, or tracheo-bronchial foreign bodies which required hospitalization during the past 10 years were statistically analyzed. The results were as follows:1) Five cases of pharyngeal foreign bodies (male: 4, female: 1), fifty-one cases of esophageal foreign bodies (male: 37, female: 23), four cases of gastric foreign bodies and 21cases of tracheo-bronchial foreign bodies (male: 12, female: 9) were treated in our hospital.2) Forty patients (52%) were under 9 years of age.3) The foreign bodies included coins (19 cases ), P. T. P (press through pack) (15 cases), dentures (10 cases) and others.

종격동 기종을 야기한 식도이물

Esophageal foreign bodies were frequently seen in otolaryngologic field and various cases were reported. The authors experienced a rare case of esophageal foreign body causing pneumomediastinum in a 6 year old boy. The foreign body was impacted in the first narrowing of the esophagus with esophageal perforation without air leakage, and it caused pneumomediastinum after endoscopic removal. We treated this case by conservative therapy without any surgical procedure. So we report this case with review of literatures.

上部消化管異物に対する軟性鏡の適応と限界

We experienced three cases of esophageal foreign bodies, removal of which had failed with flexible esophagoscope by well trained gastroenterologists in other hospitals because of large size and sharp shape. Finally we removed them with a rigid esophagoscope under general anesthesia.Based on our experiences, we discussed the limitation of flexible esophagoscopy for the removal of esophageal foreign bodies.In a case of a large or sharp foreign body which seems impossible to pass through the cricopharyngeal pinchcock with the flexible endoscope, it might be the indication of the removal with a rigid scope or with an external approach under general anesthesia.

当教室20年間の食道異物症例の統計的観察

During the past 20 years from 1971 to 1991,71 cases of esophageal foreign bodies were treated in the department of otolaryngology, Akita university hospital. These patients were clinically analyzed. The youngest patient was 10 months old and the oldest was 79 years old. Out of 71 cases,27 cases (38.0%) were under 6 years of age. Fish bones were the most common (20 cases; 28.2%), followed by coins (16 cases; 22.5%). Coins were only found in children under 6 years of age. In 52 cases (73.2%), the foreign bodies were located at the first physiological constriction of the esophagus. In 10 cases (14.1%) the foreign bodies were removed by the external incision because of perforation and esophageal abscess.

西日本各地の施設における食道異物症

A statistical study was made of cases of esophageal foreign bodies encountered in our clinic during the years from 1979 to 1988 and in selected institutions in western Japan in 1989. The results were as follows.1) Esophageal foreign bodies were found more often in females than in males in both patient groups. Two peaks were observed in the age distribution; one in children below the age 10 years and the other in the people above 60 years in both patient groups. 2) Coins were the most numerous type of foreign body in the cases at our clinic, while fish bones were prominent in the other area of western Japan. 3) Coins were the most numerous type in children below the age 10 years, whereas PTPs and fish bones were numerous in patients above the age 10 years. 4) Most of the foreign bodies were lodged at the esophageal orifice. 5) Most of the foreign bodies were removed with a rigid esophagoscope. A majority of the cases were treated under general anesthesia. 6) The most common esophageal foreign bodies were PTPs in large cities such as Osaka and Kobe, but fish bones in the other area of western Japan.