Endoscopic treatment for foreign body impaction in esophagus

Tao CHEN; Yunshi ZHONG; Liqing YAO; Pinghong ZHOU; Meidong XU; Shiyao CHEN; Lili MA; Weifeng CHEN; Yiqun ZHANG

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Endoscopic treatment for foreign body impaction in esophagus

VernacularTitle:食管嵌顿性异物内镜治疗分析
Author: Tao CHEN ; Yunshi ZHONG ; Liqing YAO ; Pinghong ZHOU ; Meidong XU ; Shiyao CHEN ; Lili MA ; Weifeng CHEN ; Yiqun ZHANG
Publication Type:Journal Article
Keywords: Impacted esophagus foreign bodies; Endoscopic management
From: Chinese Journal of Digestive Endoscopy 2012;29(9):495-499
CountryChina
Language:Chinese
Abstract: ObjectiveTo assess the efficacy and safety of endoscopic treatment for foreign body impaction in the esophagus.MethodsDemographic and endoscopic data of a total of 78 patients with esophagus foreign body impactions were retrospectively studied,which included foreign body types,number,location and duration of impaction,associated esophageal diseases,endoscopic procedures and complications.The factors which influenced the complications and procedure time were also statistically analyzed.Results Impaction (80.7％ ) and perforation (66.7％ ) most frequently occurred in the upper esophagus.Duration of foreign body impaction exceeded 24 hours in 11 patients ( 14.1％ ),which was less than 24 hours in 67 others (85.9％).All of the foreign bodies were successfully removed (2 cases of perforation were transferred to other department for further treatment),and there was no mortality related to endoscopic management occurred.The common complications included mucosal injury,bleeding,and perforation.Shape of the foreign bodies,duration of impaction and status of perforation were the main influential factors on procedure time and complications (P ＜ 0.05).ConclusionThe endoscopic management for esophageal foreign body impaction is safe and effective. It is the first choice for those whose esophagus is perforated with foreign bodies for less than 24 hours and with no abscesses out of esophageal tract.