Corps etrangers oesophagiens chez l'enfant Togolais. Evaluation de la prise en charge dans notre pratique

Boko, E; Bakonde, B; Agbodjan, K; James, K.; Kpémissi, E

doi:10.4314/jrsul.v7i1.47504

Cited by 1 publication

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“…It allows extraction without complication [9]. It must be performed under general anaesthetic by a trained operator using suitable equipment [10] [11]. Cervicotomy is sometimes performed if endoscopy fails.…”

Section: Introductionmentioning

confidence: 99%

“…Prevention remains the best treatment [10]. The main risk associated with the presence of EFB is the occurrence of esophageal ulceration, which can be complicated by esophageal perforation, esophageal hemorrhage, chemical burn, esophageal-tracheal fistula, esophageal stenosis and inhalation bronchopneumopathy [8] [11]. Esophageal perforation is the most frequent complication, representing a mortality rate of 15% to 30%, especially in relation to rapidly extensive septic complications [12].…”

Section: Introductionmentioning

confidence: 99%

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Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Diallo,

Gouéta,

Camara

et al. 2024

IJOHNS

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Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado Ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%).The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p < 0.05). Iatrogenic trauma was noted in 3.3% of cases. Nasogastric tube placement was indicated in 58.2%. Complications were dominated by ulcero-necrotic lesions (42.9%). The average length of hospitalization was 3 days. Sequelae were dominated by esophageal stenosis (5.5%). Lethality was 1.1%. Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.

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Section: Introductionmentioning

confidence: 99%