Endoscopic Removal of an Impacted Sharp Foreign Body in the Esophagus.
- Author:
Yoon Tae JEEN
1
;
Hoon Jai CHUN
;
Sung Joon LEE
;
Jung Whan LEE
;
Byung Won HUR
;
Hong Sik LEE
;
Chi Wook SONG
;
Sang Woo LEE
;
Jae Hyun CHOI
;
Chang Duk KIM
;
Ho Sang RYU
;
Jin Hai HYUN
Author Information
1. Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Impacted sharpforeign body;
Esophagus;
Balloon
- MeSH:
Anesthesia, Local;
Dentures;
Dilatation;
Endoscopes;
Esophagus*;
Foreign Bodies*;
Humans;
Male;
Sclerotherapy
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(1):503-508
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Sharp impacted esophageal foreign bodies can be very difficult to manage. When attempting to remove such objects inappropriately, life threatening complications, such as perforation can occur. Terefore, surgical intervention generally affords a safer approach. The aim of this study was to evaluate the safety and efficacy of endoscopic remval of sharp impacted esophageal foreign bodies using a dilatation method with an oral side balloon. METHODS: A total of 17 patients (7 Male, 10 Female)with sharp impacted esophageal foreign bodies underwent endoscopic Extraction. The following technique was successfully performed; an oral side balloon (Top Co., Japan) for esophageal variceal sclerotherapy was attached on the distal part of the endoscope. Under local anesthesia, the endoscope was inserted near the proximal part of the esophageal foreign body. Then, the oral side balloon was gradually dilated. Dilataion of the proximal part of the esophagus made it possible to release the sharp impacted foreign body from the esophageal wall. RESULTS: The types of foreign bodies were fish bones (6 cases), press-through packages (6 ases), chichen bones (3 cases), dentures (1 case), and a watch (1case). Endoscopic removal was successful in all 17 cases without complications such as perforation. CONCLUSIONS: This method of using an oral side balloon is safe and effective in removing sharp impacted esophageal foreign bodies, preventing, surgery and possible perforation.
