Esophageal foreign bodies

Al-Qudah, Abdullah; Daradkeh, Salam; Abu-Khalaf, Mahmoud

doi:10.1016/s1010-7940(98)00068-2

Cited by 64 publications

(63 citation statements)

References 18 publications

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“…The lodgment site has been found to be infl uenced by age, 1,2 FB type 3,4 and duration of ingestion, as well as certain individual pathological conditions like stricture, stenosis, fi stula, etc. Overall, 28-68% of gastrointestinal FBs are found in the esophagus.…”

Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

“…5 The most frequent lodgment site in childreen is at the level of the cricopharyngeus muscle (which is the narrowest part of the esophagus), and in adults it is at the lower esophageal sphincter or at the site of any predisposing lesion. 1,2 Since most of the presentations are in children 1,2,6-10 the overall commonest site of FB presentation in the esophagus is in its upper third. 11,12 The individual characteristics of the ingested body also determine the lodgment site.…”

Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

“…3,14,15 A wide variety of esophageal foreign bodies are seen in clinical practice. Coins are the commonest overall 1,7,[16][17][18] and the commonest single type in children, while bones comprise the bulk of FBs in adults. 9,11,17,19,20 Other objects regularly seen include meat, cartilage, dentures, bezoars, fruit stones, toys, batteries and buttons.…”

Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

“…5,9 Other features that may be present include history of FB ingestion, 9 presence of persistent FB sensation, 7,20,30 chest pain, 18 pooling of saliva, 7,12 vomiting 1,14 and regurgitation. 1,5 There may also be respiratory symptoms of stridor, [31][32][33] cough and choking, 14,33 which are generally found in younger children with chronic FB impaction lasting more than one week. 34 Despite being less common than nasal and pharyngeal FBs, 3 esophageal FBs are emergency situations and require timely management because of the potentially lifethreatening complications they pose.…”

Section: Diagnostic Approach Towards Diagnostic Approach Towards Patimentioning

confidence: 99%

“…Barium studies are also useful. 19,35 In undetected cases 1 and cases of suspected perforation, computed tomography (CT) scanning should be done. 24 The presence of even radiolucent objects can be hinted at by air entrapment in the preceding portion of the gut, 7 although radiological fi ndings are not considered helpful for identifi cation purposes in cases of radiolucent FBs.…”

Section: Diagnostic Approach Towards Diagnostic Approach Towards Patimentioning

confidence: 99%

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Foreign body in the esophagus: a review

Ashraf

2006

Sao Paulo Med. J.

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Foreign body in the esophagus is a common emergency presentation. The approach towards a patient with a foreign body in the esophagus comprises a thorough history and systematic examination followed by relevant investigations. However, there is considerable debate over the most appropriate treatment option for such patients. This review aims to develop a comprehensive approach towards patients presenting with foreign body ingestion by developing clinical practice guidelines. These guidelines address not only the initial evaluation of the patient but also the various management alternatives and their advantages, limitations and applicability in various scenarios, based upon a review of the literature.

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Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

Section: Foreign Body Ingestion Foreign Body Ingestionmentioning

confidence: 99%

Section: Diagnostic Approach Towards Diagnostic Approach Towards Patimentioning

confidence: 99%

Section: Diagnostic Approach Towards Diagnostic Approach Towards Patimentioning

confidence: 99%

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Foreign body in the esophagus: a review

Ashraf

2006

Sao Paulo Med. J.

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Failed Extraction of a Sharp Esophageal Foreign Body With a Flexible Endoscope

Roffman

Jalisi²,

Hybels³

et al. 2002

Arch Otolaryngol Head Neck Surg

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Several methods for the extraction of esophageal foreign bodies have been described. The most common approaches use either the flexible fiberoptic esophagoscope or the rigid esophagoscope. We report an unusual complication following the attempted extraction of a sharp esophageal foreign body with a flexible esophagoscope, review the indications for these 2 methods of extraction, and discuss the potential morbidity and mortality of these 2 approaches.

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Adherence to therapeutic gastroscopy guidelines for acute esophageal food bolus impaction: Impact on adverse outcomes and length of stay

Pan,

Duong,

Davis

et al. 2024

JGH Open

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Background and AimAccording to the European Society of Gastrointestinal Endoscopy (ESGE), gastroscopy should be conducted within 6 h for complete obstruction and 24 h for incomplete obstruction due to food bolus impaction. This study explores whether adults with acute esophageal food bolus (FB) impaction experience adverse outcomes when their time to esophagogastroduodenoscopy (EGD) deviates from the recommended guidelines.MethodsA retrospective review was performed on the records of 248 patients who presented at the study site between 2015 and 2022 with symptoms of FB impaction.ResultsTwo hundred and forty‐eight patients underwent EGD for FB impaction. Grade 1 (erosion, ulceration), Grade 2 (tear), and Grade 3 (perforation) complications were present in 31.6%, 6.9%, and 0.8% of cases, respectively. Of the 134 (54.0%) patients with complete obstruction, 51 (38.1%) received EGD within the recommended 6 h. Of the 114 (46%) patients with incomplete obstructions, 93 (81.6%) received EGD within the recommended 24 h. There was no statistically significant correlation between length of stay (LOS) post‐EGD and any of ingestion to presentation time, presentation to EGD time, or ingestion to EGD time. Age and complication level were greater predictors of longer LOS than presentation to EGD time. Patients who presented in hours were significantly more likely to receive EGD within the 6‐ and 24‐h guidelines than those who presented out of hours (50.7% vs 22.0%).ConclusionNeither time to EGD from ingestion of food bolus nor time to EGD from hospital presentation correlated with complication rate, complication severity, or length of stay post‐EGD.

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Esophageal foreign bodies

Cited by 64 publications

References 18 publications

Foreign body in the esophagus: a review

Foreign body in the esophagus: a review

Failed Extraction of a Sharp Esophageal Foreign Body With a Flexible Endoscope

Adherence to therapeutic gastroscopy guidelines for acute esophageal food bolus impaction: Impact on adverse outcomes and length of stay

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