| Title | Management of foreign bodies in the esophagus. | | Author(s) | Khan MA, Hameed A, Choudhry AJ | | Institution | Department of ENT, King Edward Medical College, Lahore. maroof@lhr.paknet.com.pk | | Source | J Coll Physicians Surg Pak 2004 Apr; 14(4):218-20. | | MeSH | Adolescent
Adult
Aged
Child
Child, Preschool
Cross-Sectional Studies
Esophagoscopy
Esophagus
Female
Foreign Bodies
Humans
Infant
Male
Middle Aged
| | Abstract | OBJECTIVE: To evaluate management of foreign bodies in the upper gastrointestinal tract.
DESIGN: Cross-sectional analytical study. PLACE AND DURATION OF STUDY: Ear, Nose, Throat Department of Mayo Hospital, Lahore, from February 1999 to December 1999.
PATIENTS AND METHODS: A total of 103 patients with history of foreign body ingestion were included in this study. X-ray neck and rigid oesophagoscopy was carried out in all patients for diagnosis and removal of foreign bodies. A structured questionnaire was designed to record all information.
RESULTS: Dysphagia (92%) and tenderness in neck (60%) were the most common clinical features. Majority (89%) patients had come to the hospital within 24 hours. X-ray of the neck (lateral view) was the most useful investigation with presence of air in the esophagus being a significant finding. Post-cricoid region was the site of impaction of foreign bodies in 84% of the subjects. The procedure of esophagoscopy was successful in 90 patients (97%) and failed in 3 patients (3%). Coins were the most common foreign bodies (60%), followed by meat related foreign bodies (22.5%) and dentures in 5% cases. Complications occurred in 18% patients and were more common in adults (37.1%) compared to children (8.8%). The most serious complication was pneumomediastinum. Maximum complications occurred with dentures (80%) and bone chips (42%).
CONCLUSION: Foreign body in the esophagus is a serious condition and early removal by rigid esophagoscopy is recommended which is a safe and effective procedure. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 15228825 |
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