Endoscopic Treatment of Esophageal Foreign Bodies in the Elderly

Chen, Chih‐Jen; Lin, Hsin-Chang; Huang, Jung-Tang; Chen, Ming‐Jen

doi:10.1016/j.ijge.2012.05.003

Cited by 6 publications

(20 citation statements)

References 15 publications

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“…There is a limit to which type of anesthesia or medication that can be used for ASA IV patients. [6] A study reported the use of local anesthetic (LA) spray [7] in the removal of denture but none in ASA IV patients unlike this present study. Anesthesia use in the elderly requires extreme caution but more so in the elderly with cardiac disease.…”

Section: Discussioncontrasting

confidence: 57%

Emergency extraction of accidental impacted upper denture in the Association of American Anesthesiologist IV elderly patient: A case report and review of literature

Adoga

Ogbe

Akinlade³

et al. 2020

ANMRP

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A 78-year-old retired civil servant being managed for hypertensive heart disease and combined mixed cardiac valvular diseases (aortic stenosis and incompetence, mitral stenosis and incompetence), who has been on routine medication, accidentally swallowed his upper denture during the process of his medication. He presented to the private ENT hospital about 2 h post-ingestion. His other complaints were throat pain, dysphagia, and odynophagia. Clinical examination revealed an elderly man in painful distress and anxious looking. The throat and neck examination revealed tenderness at the level of the 6th cervical vertebrae and on the right side with some pooling of saliva in the throat. The oral cavity also revealed missing upper incisor tooth. His cardiovascular system revealed his apex beat at the 7th left intercostal space, heaving with irregular heart sounds and mixed beats and pansystolic murmur. His pulse rate and blood pressure were 64 beats/min and 170/65 mmHg, respectively. The other systems were essentially normal. A review by an experienced anesthetist (ME) placed the patient in the Association of American Anesthesiologist IV (ASA IV). An assessment of emergency impacted upper denture in elderly patient with cardiac valvular lesion and ASA 1V category was made. Cervical X-ray could not be done because the X-ray machine was faulty. The patient had the denture extracted under local anesthetic agent (10% lignocaine spray) and was successfully escorted out of the theater very excited. He was sent home 2 h post-extraction.

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Section: Discussioncontrasting

confidence: 57%

Emergency extraction of accidental impacted upper denture in the Association of American Anesthesiologist IV elderly patient: A case report and review of literature

Adoga

Ogbe

Akinlade³

et al. 2020

ANMRP

View full text Add to dashboard Cite

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“…Oesophageal diseases causing stenosis, such as strictures and atresiae, and dysmotility disorders such as achalasia could also cause obstruction to the descent of an ingested foreign body [9]. This was well highlighted in the study by Lin and friends where about 26% of elderly with foreign body impaction had an underlying oesophageal abnormality [10].…”

Section: Discussionmentioning

confidence: 98%

“…Lin et al reported a success rate of 88.8% in the utilization of endoscopy for oesophageal foreign body retrieval with an associated complication rate of 13.3%. The documented complications were bleeding and oesophageal perforation [10]. Altokhais and colleagues also reported a success rate of 86% for removal via esophagoscopy [4].…”

Section: Managementmentioning

confidence: 98%

Open Thoracic Surgery for Removal of a Two-Year-Old Impacted Esophageal Coin

Okyere¹,

Brenu²,

Okyere³

2020

OJTS

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Introduction: Esophageal foreign bodies are important and serious cause of morbidity and mortality in both children and adults, usually as a result of serious complications, such as perforation, necrosis, mediastinitis, and fistulation. Therefore, rapid and accurate diagnosis with subsequent removal is very important. Clinical Case: We present and discuss the presentation, diagnosis and surgical management of a 6-year-old with a 2-year history of ingested coin locked in the oesophagus. Discussion: Diagnosis was established by upper gastrointestinal endoscopy, barium swallow and chest x-ray. The coin was removed by open surgery via oesophagotomy through right thoracotomy after failed retrieval via rigid oesophagoscopy. Conclusion: Surgical treatment in the form of esophagotomy via thoracotomy may be necessary in some cases of impacted foreign bodies in the esophagus where endoscopic removal is unsuccessful.

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“…Most of the middle-aged adults in our study ingested foreign bodies intentionally due to psychiatric disorders. Four patients aged more than 60 years accidentally ingested dentures due to impaired swallowing controls [ 8 ].…”

Section: Discussionmentioning

confidence: 99%