scholarly journals The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body

2015 ◽  
Vol 30 (1) ◽  
pp. 59-62
Author(s):  
Philip Jan P. Arenga ◽  
Joebert M. Villanueva

Objective:       To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body. Methods: Study Design:             Preliminary Diagnostic Test Assessment; Consecutive Convenience Sample Setting:                       Tertiary Government Hospital Participants, Patients or Population: Soft gel capsule with barium sulfate was pilot tested on patients with a history and diagnosis of radiolucent foreign body ingestion between June 1 and November 30, 2014. Results: Seven patients (6 males, 1 female; aged 26 – 61 years) underwent the procedure. In all seven, the enhanced capsule immediately stopped above the level of the esophageal foreign body, easily identifying the exact location of the obstruction. Foreign bodies included 1 embryonated duck-egg white “balut”, 5 chunks of pork meat and 1 claspless denture.  All were successfully marked by the capsule on fluoroscopy and documented on X-ray. Esophagoscopy under general anesthesia was successfully performed after fluoroscopy in all patients. Conclusion:    We were able to improvise a new medium for use in modified barium esophagograms that was easy to prepare and that rendered good radiographic imaging and localization of radiolucent foreign bodies. A randomized trial in comparison to the prevailing test may confirm our findings further. Meanwhile, we recommend exploring the procedure in other hospitals as an alternative to barium-soaked cotton in the diagnosis of radiolucent esophageal foreign bodies Keywords: soft gel capsule, barium suphate, esophagogram, esophageal foreign body

2018 ◽  
Vol 146 (7-8) ◽  
pp. 433-435
Author(s):  
Zlatko Djuric ◽  
Dragoljub Zivanovic

Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was admitted to our hospital due to an acute onset of dysphagia, drooling, and vomiting. From the result of a plain anteroposterior X-ray, the patient was found to have a long hairpin retained in her esophagus. During endoscopic removal using a polypectomy snare, the hairpin was found to be stuck in the hypopharynx. It could not be removed by moving the scope and placing the patient in different positions. Finally, the hairpin was pulled out using a pair of Magill forceps under the control of a laryngoscope. Conclusion. The Magill forceps can be a very useful tool if a foreign body is stuck in the hypopharynx during an endoscopic removal and should be readily available in any setting where this kind of endoscopic procedure is being performed.


1982 ◽  
Vol 91 (6) ◽  
pp. 599-601 ◽  
Author(s):  
W. Frederick McGuirt

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.


2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 77-77
Author(s):  
Jinteng Feng ◽  
Kun Fan ◽  
Rui Gao ◽  
Junke Fu ◽  
Guangjian Zhang

Abstract Background Esophageal foreign bodies refer to objects that are accidentally or intentionally swallowed, or that are naturally swallowed during medication or eating, temporarily staying in or resting in the esophagus. Esophageal foreign body is one of the common emergency of esophageal surgery, more common in the elderly and children. This paper study clinical features of esophageal foreign body in northwestern China in order to improve the abilities of diagnosis and treatment for the disease. Methods Clinical data of 202 patients admitted in for esophageal foreign body was analyzed retrospectively. The general information of the patients were collected, and the types of foreign bodies, the location, diagnostic methods, methods of taking out and related complications, hospitalization days, et al were analyzed statistically. Results The types of esophageal foreign body included jujube pit (61.8%), animal bones (12.9%) and non-food foreign bodies (24.3%). It mainly occurred in the upper orifice of the esophagus (65.8%). Diagnostic methods were mainly consisted of esophageal angiography (57.9%), chest X-ray (19.8%) and endoscopy (16.4%). Most of the patients (189, 93.6%) were treated with esophagoscopy. Altogether 26 cases presented with complications, and 18 of them were admitted in for jujube pit. Conclusion The main cause of esophageal foreign body is jujube pit. Early diagnose and timely management is essential for the disease. How to guide the population as far as possible to avoid ingesting jujube pit wrongly and reduce the incidence of esophageal foreign body is of practical significance. Disclosure All authors have declared no conflicts of interest.


2012 ◽  
Vol 42 (1) ◽  
Author(s):  
Arie Cahyono ◽  
Bambang Hermani ◽  
Fachri Hadjat ◽  
Sukri Rahman

Background: Foreign body in the esophagus should be removed as soon as possible under optimal conditions to prevent complications. Esophagoscopy is a safe and effective procedure for foreign bodies removal in most cases, but in some cases esophagoscopy could not be performed or failed to extract the foreign body, necessitating surgery such as esophagotomy. Objective: To illustrate the cervical esophagotomy technique as a management of esophageal foreign bodies. Case: A 53-years old woman with a foreign body (dentures) in the esophagus that failed to be removed by esophagoscopy and need cervical esophagotomy. Management: Cervical esophagotomy was performed after esophagoscopy failed to remove the foreign body. Conclusion: Cervical esophagotomy is needed in cases of esophageal foreign body in which of esophagoscopy could not be performed or failed to remove the foreign body. Keywords : foreign body, denture, esophagus, cervical esophagotomy  Abstrak :  Latar Belakang: Benda asing di esofagus harus sesegera mungkin dikeluarkan dalam kondisi yang optimal untuk mencegah terjadinya komplikasi. Esofagoskopi adalah cara yang aman dan efektif untuk ekstraksi benda asing pada sebagian besar kasus, namun pada beberapa kasus tindakan esofagoskopi tidak dapat dilakukan atau gagal mengeluarkan benda asing, sehingga diperlukan tindakan bedah berupa esofagotomi. Tujuan: Kasus ini diajukan untuk mengilustrasikan teknik esofagotomi servikal sebagai penatalaksanaan benda asing esofagus. Kasus: Dilaporkan satu kasus wanita 53 tahun dengan benda  asing gigi palsu di esofagus yang gagal dikeluarkan dengan esofagoskopi sehingga diperlukan tindakan  esofagotomi servikal untuk mengambilnya. Penatalaksanaan: Dilakukan esofagotomi servikal setelah esofagoskopi gagal mengeluarkan benda asing. Kesimpulan: Esofagotomi servikal dilakukan untuk mengeluarkan benda asing di esofagus apabila tindakan esofagoskopi tidak dapat dilakukan atau gagal mengeluarkan benda asing. Kata kunci : benda asing, gigi palsu, esofagus, esofagotomi servikal.


2015 ◽  
Vol 62 (3) ◽  
pp. 318-321
Author(s):  
Corneliu Toader ◽  
◽  
Alina Oprea ◽  
Anca Constantin ◽  
Liviu Niculescu ◽  
...  

The ingress of foreign bodies in the esophagus is relatively easy and, at the same time, frequently, especially during the childhood. Children usually carry to their mouth within easy reach, different objects: seeds, pits/kernels, coins, buttons, food pieces, toys’ pieces, tiny toys, pins, drawing pins, rings, earrings, etc. We present a case of a multiple esophageal foreign body, at which, only the attention and accuracy with which the esophagoscopy was proceeded, has allowed the extraction of the foreign body.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 657-658
Author(s):  
John W. Tauscher

Esophageal foreign bodies do not commonly cause inspiratory stridor. Esophageal foreign bodies are considered in the child who presents with anorexia, dysphagia, and drooling. This diagnosis is not so readily apparent when the child has the symptom of stridor only.1 The diagnosis must be made early and appropriate treatment initiated. Undue delay can lead to complications such as esophageal ulcerations, stenosis, perforation, mediastinitis or aspiration pneumonia. The otolaryngological and radiological literature has placed more emphasis on inhaled and ingested foreign bodies than has the pediatric literature.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Siti N. Marasabessy ◽  
Steward K. Mengko ◽  
Ora I. Palandeng

Abstract: Esophageal foreign body is sharp or blunt objects or food stuck and stuck in the esophagus due to ingested, either deliberately or accidentally. Esophagoscopy extraction is the common treatment. This study aimed to obtain the occurance of foreign bodies in esophagus in the THT-KL RSUP Prof. Dr. R. D. Kandou Manado during period January 2010-December 2014, and the pattern of age, gender, and type of foreign bodies that impact esophageal foreign bodies. This study used descriptive-retrospective. Samples were all patients who seek treatment in the THT-KL RSUP Prof. Dr. R. D. Kandou Manado diagnosed as esophageal foreign body, during period January 2010-December 2014. Fivety-two patients had diagnose with esophageal foreign bodies during period January 2010. The group of age 0-10 years had a highest number of patients with 17 cases (32.7%). There was no different between male (25 patients) and female (27 patients). The most common esophageal foreign bodies in all patient was dentures with 25 cases (48.1%) and coins become the second most common foreign bodies in 18 cases (34.6%). Conclusion: The number of patients with esophageal foreign bodies was a small part of the total number of THT-KL cases because these cases were more incidental.Keywords: foreign bodies. esophagus. esophagoscopy.Abstrak: Benda asing esofagus adalah benda yang tajam maupun tumpul atau makanan yang tersangkut dan terjepit di esofagus karena tertelan, baik secara sengaja maupun tidak sengaja. Penatalaksaan yang lazim adalah esofagoskopi ekstraksi untuk mengeluarkan benda asing. Tujuan penelitian ini adalah untuk mengetahui angka kejadian benda asing esofagus di Bagian/SMF THT-KL RSUP Prof. Dr. R. D. Kandou Manado mulai bulan Januari 2010-Desember 2014 dan untuk mengetahui jenis kelamin, golongan umur dan jenis benda asing tersering dalam kasus benda asing esofagus. Penelitian ini menggunakan metode deskriptif-retrospektif. Sampel penelitian adalah semua penderita yang berobat di Bagian/SMF THT-KL RSUP Prof. Dr. R. D. Kandou Manado yang terdiagnosis sebagai benda asing esofagus, mulai bulan Januari 2010-Desember 2014. Lima puluh tiga pasien telah terdiagnosis sebagai benda asing esofagus selama periode Januari 2010-Desember 2014. Golongan umur 0-10 tahun adalah yang paling banyak menjadi pasien benda asing esofagus dengan 17 kasus (32,7%). Tidak ada perbedaan yang cukup berarti antara pasien pria (25 pasien) dan perempuan (27 pasien). Benda asing tersering yang menjadi penyebab benda asing esofagus adalah gigi palsu dengan 25 kasus (48,1%) dan uang logam menjadi benda asing tersering kedua dengan 18 kasus (34,6%). Simpulan : Penderita benda asing esofagus memiliki jumlah yang sedikit dari jumlah keseluruhan kasus THT-KL, karena kasus ini lebih bersifat insiden.Kata kunci: benda asing, esofagus, esofagoskopi


2020 ◽  
Vol 86 (5) ◽  
pp. 541-543
Author(s):  
Joshua Judge ◽  
Anh Le ◽  
Jacek Wecowski

Foreign body ingestion is a common indication for general surgery consultation in the emergency setting. We report a case of large esophageal foreign body ingestion involving a metallic butter knife lodged at the gastroesophageal junction that required endoscopic removal. Furthermore, we report a novel modification to the dual snare technique of retrieval incorporating a snare placed through a nasogastric tube to facilitate introduction and manipulation of the second snare.


2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Muhammad Mujeeb ◽  
Mubarik Ali ◽  
,Waseem Ahmed

Impaction of foreign bodies in the digestive tract is usually at upper end of the oesophagus. Patient presents with dysphagia and excessive salivation. X-Ray Neck AT and Lateral are essential before oesophagoscopy. We are presenting an interesting case of ,a child who had impacted Banta (Glass Ball) at the upper end of the oesophagus and was removed with unique maneuver.


2021 ◽  
Vol 8 (2) ◽  
pp. 383
Author(s):  
Gurpreet Singh Chhabra ◽  
Anumeet Singh Grover ◽  
Gagandeep Kaur

Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described. Seventy-six percent of patients presented with a primary complaint of respiratory symptoms, with respiratory distress being the most common followed by asthmatic symptoms and cough. Twenty-two percent of patients had primarily gastrointestinal symptoms including nausea, vomiting and dysphagia. We present a case report of 2year 6month old male with 3 months history of cough and vomiting later diagnosed to be a case of upper esophageal foreign body impaction.


Sign in / Sign up

Export Citation Format

Share Document