Removal Of Impacted Foreign Bodies Research Articles

FLEXIBLE VERSUS RIGID ESOPHAGOSCOPY IN THE MANAGEMENT OF ESOPHAGEAL FOREIGN BODY IMPACTION

Background: Foreign body(FB) impaction accounts for 4% of emergency endoscopies in clinical practice. Flexible endoscopy(FE) is a recommended therapeutic option because it can be performed under local anesthesia, it is cost effective and is well tolerated. Rigid endoscopy (RG) under general anesthesia is another option and is advantageous in some circumstances. The aim of the study is to compare efcacy and safety of exible and rigid esophagoscopy in esophageal foreign body removal. Methods: It is a prospective study done in E.N.T department in KIMS MEDICAL COLLEGE, Amalapuram, which includes 50 patients with impacted foreign body esophagus. Parameters like type of foreign body, location of impacted foreign body are included. The study analyzies the type of procedure the patient have undergone, the intra operative and post operative complications. Results: This prospective cohort study includes 50 patients who have undergone surgical procedure for removal of impacted foreign body. Flexible esophagoscopy is performed in 30 patients and rigid esophagoscopy is performed in 20 patients . The most frequent complications are mucosal erosion, mucosal edema, and ulceration. Conclusion: Flexible esophagoscopy and rigid esophagoscopy are equally safe and effective for removal of impacted esophageal foreign body.

Broncoscopia intervencionista terapéutica en pediatría

Gracias al desarrollo de equipos adecuados para la realización de estudios broncoscópicos en niños este procedimiento se ha ido posicionando como un estudio común y esencial en el manejo de diversas patologías respiratorias en pediatría. La broncoscopia ha demostrado ser útil en la remoción de cuerpos extraños impactados, la aspiración guiada de tapones de moco y coágulos retenidos en los bronquios, la asistencia en intubaciones difíciles, en dilataciones de estenosis de tráquea o bronquios congénitas o adquiridas, en ablación de lesiones de la mucosa, aspiración transtraqueal con aguja fina de quistes y nódulos, lavado pulmonar ante sospecha de infección, cierre de fístulas broncopleurales y en diversas aplicaciones perioperatorias como intubaciones selectivas y cierre de fístulas traqueoesofágicas. Es necesaria la creación de más centros especializados en Colombia que cuenten con tecnología de punta y personal capacitado para cambiar el pronóstico de muchos problemas respiratorios serios en la población pediátrica.

Perils of Prolonged Impaction of Oesophageal Foreign Bodies

Ill-conceived effort at removal of impacted foreign bodies (FBs) in oesophagus vies with delay in removal as the causes of morbidity and mortality. Most oesophageal FBs are safely removed endoscopically when attempted early. However, large sharp FBs like dentures and meat bones can get deeply embedded in the wall with prolonged impaction or injudicious attempts at removal leading to life-threatening mediastinitis. Open surgery to access the oesophageal-impacted FB in such an event is hazardous. This report emphasizes the need for early site-specific surgical approaches that may be required, albeit rarely, for oesophageal-impacted FBs, where attempts at endoscopic removal have failed or complications have ensued.

Office Procedure For Management Of Foreign Body: Cricopharynx

Introduction: There are few reports of removal of impacted foreign bodies in the cricopharynx as office procedure. This is the retrospective review of 114 consecutive patients of Foreign Body Cricopharynx reporting between years January 1992 to August 2005. Set up: Tertiary Care (Medical College) Hospital. Material, Methods And Results: Out of 114 patients with foreign bodies in cricopharynx (average age 7.6 years), we have removed F Bs in 111 cases successfully in E.N.T. outdoors without early or late complications. The instruments used were Macintosh laryngoscope and Laryngeal foreign body forceps. Three patients were subjected for Flexible Fibreoptic Endoscopy of oesophagus, as F Bs had descended down during the course of treatment. Conclusion: This study suggests that removal of FB in cricopharynx, as outdoor procedure, is both safe and cost effective. This paper was presented in the First International Conference of Rural Surgeons held in September 2005 at UJJAIN (MP).

A new prototype, 1-channel 4-way tip control pediatric upper gastrointestinal fiberscope

The prototype of a new, single channel, 4-way tip control peroral fiberscope (GIF-P₂) was used in 41 pediatric patients. In 14 of 16 patients younger than 2 years and in 24 of 25 of the older patients, the esophagus, entire stomach, pylorus, duodenal bulb, and post bulbar areas were visualized. Retrograde examination of the fundus and esophagogastric junction was accomplished in 39 of 41 patients. The GIF-P₂ is judged superior to the GIF-P₁ for routine upper gastrointestinal endoscopic examination and for removal of impacted foreign bodies in infants and children.