A New Method for Extracting Wooden Foreign Bodies from the Upper Esophagus

Abstract

A foreign body impacted in the esophagus is an emergency case that requires immediate treatment. Often the foreign body can be removed easily using forceps or loops. Sometimes, however, safe grasping and extraction may become very difficult. A patient swallowed a chestnut which then stuck in the upper esophagus. The chestnut was removed with a gynecological instrument with a spiral tip used for myoma fixation. Thereafter this technique was applied to in vitro tests with various kinds of meat and wood. In the clinical case, the chestnut could be removed with the spiral tip of the instrument for myoma fixation, whereas in the in vitro tests it was impossible to grasp meat or cut it into pieces. The removal of foreign bodies, such as wood, with the spiral tip of the instrument for myoma fixation during rigid esophagoscopy is an alternative to extraction with forceps or loops. This method is ineffective for the removal of pieces of meat.

A Chestnut–A Difficult Challenge for an Endoscopist

“…In one case report, the chestnut impacted in the upper third of esophagus was removed with a spiral-tipped instrument for myoma fixation, using the corkscrew method. 10 However, in our case, the chestnut was mobile and above the lower esophageal sphincter; therefore, attempts to utilize the above-described manner could have been hazardous. Even though it is generally recommended to retrieve objects that are bigger than 2 to 2.5 cm, pushing object to the stomach could be another option to have more room for manipulation or leave it to pass spontaneously.…”

Accidental swallowing of the head of a dental mirror: Report of a rare case

“…In such a situation, the foreign body must be extracted within 24 hours to avoid necrosis in the esophageal wall or complications such as esophageal perforation, para-or retropharyngeal abscesses, aorta or bronchoesophageal fistula, pulmonary edema, emphysema, esophageal diverticula, or lobe atelectasis. 27,28 The method chosen for extracting a foreign body from the esophagus depends on patient age, clinical condition, size, shape, and texture of the object, as well as its anatomical location. 27 Physician experience and expertise with the extraction method required is also an important factor.…”

“…27,28 The method chosen for extracting a foreign body from the esophagus depends on patient age, clinical condition, size, shape, and texture of the object, as well as its anatomical location. 27 Physician experience and expertise with the extraction method required is also an important factor. Various techniques have been described to deal with foreign bodies in the esophagus including observation, Foley's catheter dislodgment, rigid and flexible esophagoscopy, Magill forceps, intravenous glucagon, and surgical removal.…”

Verletzungen durch hölzerne Fremdkörper beim Hund

“…oderpostoperative Kontrollen.I nd er Humanmedizin beschreibenz ahlreiche Autoren dier isikoarmeu nd sichereM ethode derF remdkörperentfernung ausd em oberenD igestions-bzw. Respirationstrakt perE ndoskop ( 13,21,28,36,39,48 Literatur…”