1.Clinicodemographic profile and treatment outcomes of patients with upper aerodigestive tract foreign bodies in the Southern Philippines Medical Center: A five-year retrospective review
John Michael P. Tagsa ; Donnie Jan D. Segocio
Philippine Journal of Otolaryngology Head and Neck Surgery 2024;39(1):26-30
Objective:
This study aims to describe the clinicodemographic profile of patients with foreign bodies in the upper aerodigestive tract and their treatment outcomes.
Methods:
Design: Retrospective review of records. Setting: Tertiary Government Training Hospital. Participants: Records of 304 patients diagnosed with aerodigestive foreign bodies
Results:
Three hundred-four (304) patients were included. The median age was 5.26 years in the pediatric age group and 42.53 years in the adult age group, with a male-to female ratio = 1.97:1. Foreign bodies were ingested in 291 (96%) patients while aspiration occurred in 13 (4%). Overall, 211 (69%) of cases involved the pediatric population (<19 years) and 93 (31%) the adult population. The most common foreign bodies reported were coins (63.5%), food (18.1%), and dentures (11.5%). Most esophageal foreign bodies (244/291; 83%) were seen at the cricopharyngeal level in all age groups. The foreign body was removed successfully in 288/291 (98%) of ingestion cases. All 13 cases of foreign body aspiration were successfully removed by bronchoscopy. All patients were discharged improved.
Conclusion
Most upper aerodigestive tract foreign bodies involved the pediatric age group.
Predisposing conditions were mainly due to accidental ingestion and aspiration while playing in the pediatric population and negligence in eating among adults. Almost all ingestion cases were successfully treated with esophagoscopy, while all aspirations were treated successfully with bronchoscopy. Most intraoperative and postoperative complications who were managed conservatively by observation, although some cases required referral to other surgical departments and were treated surgically. All patients were discharged improved.
Foreign Bodies
;
Eating
;
Esophagoscopy
;
Bronchoscopy
2.A Case of Early Esophageal Cancer Associated with Invasive Thymoma.
Young Jin KANG ; Hee Ug PARK ; Dae Sik KANG ; Kee Byum LEE ; Soo Dong SUNG ; Jung Tae KIM ; Jong Hak OK
Korean Journal of Gastrointestinal Endoscopy 1995;15(2):212-217
Metachronous double cancer of primary early esophageal squamous cell carcinoma and invasive thymoma is a very rare condition. The invasive thymoma had been detected during the myathenia gravis evaluation and treated by radiation therapy 5 years ago. The esophageal lesion had a nodular-surfaced flat elevation at the mid-esophagus that was found by esophagoscopy. Radical resection for the lesions was undertaken after histologic confirmation. Postoperative pathologic examination documented that the esophageal squamous cell carcinoma was in the "early" stage involving the mucosal and submucosal layer only. We report a case of early esophageal cancer associated with invasive thyrnoma with literatures review.
Carcinoma, Squamous Cell
;
Esophageal Neoplasms*
;
Esophagoscopy
;
Thymoma*
3.A Case of Locally Invasive Thyroid Papillary Cancer Diagnosed by Esophagoscopy.
Hyo Seung KANG ; Sang Hyun PARK ; Dae Jin KIM ; Tae Sik WON ; Sang Jin CHO ; Tae Ung LEE
Korean Journal of Gastrointestinal Endoscopy 2009;38(6):339-342
Papillary carcinoma is the most common malignant tumor of the thyroid gland, and it only infrequently invades the upper aerodigestive tract. When such invasion does occur, it is a source of significant morbidity as well as mortality. Although most thyroid tumors first clinically manifest as a neck mass, there have been few reports of patients whose initial compliant was a disturbance of the aerodigestive tract. The patient in our present study had no significant past medical history, and esophagoscopy and biopsy revealed papillary adenocarcinoma. We report here on a case of thyroid papillary carcinoma that was diagnosed by esophagoscopic biopsy.
Adenocarcinoma, Papillary
;
Biopsy
;
Carcinoma, Papillary
;
Esophagoscopy
;
Humans
;
Neck
;
Thyroid Gland
4.Doxycycline - Induced Esophageal Ulcers.
Jae Wang KIM ; Jang Yong HWANG ; Kyu Sik KWACK ; Yong Hwan CHOI ; Joon Mo CHUNG
Korean Journal of Gastrointestinal Endoscopy 1985;5(1):33-35
Esophageal ulcers induced by doxycycline is a rare complication. These patients usually complain of sudden onset of symptoms, ie acute substernal or chest pain and odynophagia without prior hietory of esophageal syraptoms. On esophagoscopic examination, there are upper or midesophageal ulcers, which heal after diseontinuation of the drug within 2 weeks. A history of ingestion of the doxycycline,with liquid jost before bedtime can be elicited. The exact eause of the xaucosal ulceration is not clear, but a direct irritant effeet on esophageal mucosa seems most likely. We report 5 cases of esophageal uleeration secondary to the ingestion of doxycydine. Esophagoscopy revealed esophageal ulcers in all patients and the patients hecame asymptomatic following stopping of tbe drugs and taking antacids.
Antacids
;
Chest Pain
;
Doxycycline*
;
Eating
;
Esophagoscopy
;
Humans
;
Mucous Membrane
;
Ulcer*
5.Missed diagnosis in 1 case of esophageal foreign body of button battery in infant: a case report and review of the literature.
Qijun FAN ; Yupeng LIU ; Huan JIA
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(22):1806-1808
To be on the alert on infants with esophageal foreign body, and to pay more attention to the button battery esophageal foreign body, the clinical data of a 12-month-old infant with button battery esophageal foreign body, which was missed diagnosis for up to 4 months, is analyzed. And the related literature is reviewed. An esophagoscopy was carried out to remove the foreign body. A favorable outcome was achieved. When the infants have unexplained gastrointestinal symptoms, we should consider the possibility of an esophageal foreign body. We should pay attention to the button battery due to its highly corrosive to the esophagus. Timely diagnosis, reasonable operation are the keys to cure.
Electric Power Supplies
;
Esophagoscopy
;
Esophagus
;
Foreign Bodies
;
surgery
;
Humans
;
Infant
6.A case of the removing the intragastric foreign body by the gastroscopy combining with the esophagoscopy.
Zhongwan LI ; Fan ZOU ; Xiufu LIAO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(9):658-659
A male patient, 49 years old with drug use, swallowed a toothbrush and a tube of 20 centimeters long which lead to the upper abdomen pain for six years. The gastroscopy examination showed the head of the toothbrush in the gastric antrum and the tail inserting in the pylorus. The intragastric toothbrush was removed by the gastroscopy combining with esophagoscopy.
Esophagoscopy
;
Foreign Bodies
;
surgery
;
Gastroscopy
;
Humans
;
Male
;
Middle Aged
;
Stomach
7.Long-term outcomes of peroral endoscopic myotomy with simultaneous submucosal and muscle dissection (POEM-SSMD) for achalasia with severe interlayer adhesions.
Jiancong FENG ; Ningli CHAI ; Wengang ZHANG ; Longsong LI ; Xiaowei TANG ; Jiale ZOU ; Lu YE ; Enqiang LINGHU
Chinese Medical Journal 2022;135(6):724-726
8.Esophageal Duplication Cyst.
The Korean Journal of Gastroenterology 2006;47(2):89-91
No abstract available.
Adult
;
Esophageal Cyst/*diagnosis/pathology
;
Esophagoscopy
;
Esophagus/pathology/radiography
;
Female
;
Humans
;
Tomography, X-Ray Computed
9.Curative Radiotherapy of Supraglottic Cancer.
The Journal of the Korean Society for Therapeutic Radiology and Oncology 1998;16(2):139-145
PURPOSE: The purpose of this study was to evaluate the efficacy of curative radiotherapy in the management of supraglottic cancer. MATERIALS AND METHODS: Twenty-one patients with squamous cell carcinoma of the supraglottis were treated with radiotherapy at Gyeongsang National University Hospital between 1990 and 1994. Median follow-up period was 36 months and 95% were observed for at least 2 years. RESULTS: Actuarial survival rate at 5 years was 39.3% for 21 patients. The 5-year actuarial survival rate was 75.0% in Stage I, 42.9% in Stage II, 33.3% in Stage III, and 28.6% in Stage IV (p=0.54). The 5-year local control rate was 52.0% for 21 patients. The 5-year local control rate was 75.0% in Stage I, 57.1% in Stage II, 66.7% in Stage III, and 28.6% in Stage IV (p=0.33). Double primary cancer was developed in 3 patients and those were all esophageal cancers. CONCLUSION: In early stage (Stage I and II) supraglottic cancer, curative radiotherapy would be a treatment of choice and surgery would be better to be reserved for salvage of radiotherapy failure. In advanced stage (Stage III and IV), radiotherapy alone is inadequate for curative therapy and combination with surgery should be done in operable patients. This report emphasizes the importance of esophagoscopy and esophagogram at the follow-up of patients with supraglottic cancer.
Carcinoma, Squamous Cell
;
Esophageal Neoplasms
;
Esophagoscopy
;
Follow-Up Studies
;
Humans
;
Radiotherapy*
;
Survival Rate
10.Curative Radiotherapy of Supraglottic Cancer.
The Journal of the Korean Society for Therapeutic Radiology and Oncology 1998;16(2):139-145
PURPOSE: The purpose of this study was to evaluate the efficacy of curative radiotherapy in the management of supraglottic cancer. MATERIALS AND METHODS: Twenty-one patients with squamous cell carcinoma of the supraglottis were treated with radiotherapy at Gyeongsang National University Hospital between 1990 and 1994. Median follow-up period was 36 months and 95% were observed for at least 2 years. RESULTS: Actuarial survival rate at 5 years was 39.3% for 21 patients. The 5-year actuarial survival rate was 75.0% in Stage I, 42.9% in Stage II, 33.3% in Stage III, and 28.6% in Stage IV (p=0.54). The 5-year local control rate was 52.0% for 21 patients. The 5-year local control rate was 75.0% in Stage I, 57.1% in Stage II, 66.7% in Stage III, and 28.6% in Stage IV (p=0.33). Double primary cancer was developed in 3 patients and those were all esophageal cancers. CONCLUSION: In early stage (Stage I and II) supraglottic cancer, curative radiotherapy would be a treatment of choice and surgery would be better to be reserved for salvage of radiotherapy failure. In advanced stage (Stage III and IV), radiotherapy alone is inadequate for curative therapy and combination with surgery should be done in operable patients. This report emphasizes the importance of esophagoscopy and esophagogram at the follow-up of patients with supraglottic cancer.
Carcinoma, Squamous Cell
;
Esophageal Neoplasms
;
Esophagoscopy
;
Follow-Up Studies
;
Humans
;
Radiotherapy*
;
Survival Rate