Extraction of hollow gastric foreign bodies by flexible upper endoscopy assisted by a through-the-scope balloon catheter for anchoring

Muñoz, Juan Carlos; Habashi, Samir L.; Corregidor, Ana M; Bass, Robert R.; Alizadeh, Mary; Gupta, Ruchika; Lambiase, Louis; Vega, Kenneth J.

doi:10.1016/j.gie.2007.10.043

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…The most common procedure to remove the foreign body is rigid esophagoscopy under general anaesthesia Some center advocates to remove the foreign body by balloon catheter, and flexible upper gastrointestinal endoscopy. 6 However, Balloon catheter is not suitable for sharp foreign body. Flexible esphagoscopy is not appropriate because of its long working length which might even lead to iatrogenic perforation as patient moves during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Thyrohyoid Ligament Calcification Mimicking Foreign Body Esophagus; A Rare Case Report and Review of the Literature

Sigdel¹,

Neupane

Sah³

et al. 2022

JCMC

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Background: Foreign body ingestion frequently occurs in the extreme of ages. Meat bolus, fishbone buried in the food, and sharp bone are the common ingested foreign bodies among adults. The normal ligament and bony structure start to ossify after the third decade of life and mimic foreign bodies. Ossified thyrohyoid ligament, cricothyroid ligament, cornu of hyoid bone may be misdiagnosed as a foreign body in the aerodigestive tract. Case presentation: We describe a 54 years female who presented with painful swallowing for two days after eating chicken bone at Emergency Department. X-ray soft tissue neck lateral view showed a radiopaque shadow in front of the C3-C4 region. The patient underwent rigid esophagoscopy, however, a foreign body could not be found at the pharynx. Computerized Tomography (CT) shows the same hyperdense shadow at the same location as seen in the x-ray. Furthermore, Magnetic resonance imaging (MRI) scan was done to localize the exact site of the foreign body, but the patient was a case of thyrohyoid calcification rather than foreign body in the esophagus. Conclusion: Difficulty arises for the surgeons when a foreign body is not found during rigid esophagoscopy. It is important to reassess and locate the foreign body by imaging. The calcified ligament can mimic a foreign body in the neck. MRI confirms the diagnosis which may be misguided by X-ray and CT-scan.

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Section: Discussionmentioning

confidence: 99%

Thyrohyoid Ligament Calcification Mimicking Foreign Body Esophagus; A Rare Case Report and Review of the Literature

Sigdel¹,

Neupane

Sah³

et al. 2022

JCMC

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“…Although there are no published studies or reports discussing the retrieval of hollow foreign bodies from the oesophagus, Munoz and colleagues 7 described a small case series of hollow objects successfully removed from the stomach using an anchoring oesophageal dilatation balloon: this was used to mount the object onto a flexible endoscope, with subsequent removal without fluoroscopic guidance.…”

Section: Discussionmentioning

confidence: 99%

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Chakravarty¹,

Kunanandam

Walker³

2021

J. Laryngol. Otol.

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Background Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means. Method and results After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction. Conclusion This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

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“…For example, foreign bodies that are hollow or have a hole in them may be able to be retrieved by using a through-the-scope balloon that is inflated or a forceps that is opened after being passed through the hole. 10,11 Another technique for removing hollow objects involves passing a wire 12 or long suture 13 through the channel of the endoscope and then the hole in the object and finally grasping it with a regular forceps. There is a report of slipping rubber sleeves on a rattooth forceps to aid in holding on to a slippery metal object that could not be securely held with other devices.…”

Section: Other Devicesmentioning

confidence: 99%

Endoscopic retrieval devices

Diehl¹,

Adler²,

Conway³

et al. 2009

Gastrointestinal Endoscopy

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Extraction of hollow gastric foreign bodies by flexible upper endoscopy assisted by a through-the-scope balloon catheter for anchoring

Cited by 8 publications

References 8 publications

Thyrohyoid Ligament Calcification Mimicking Foreign Body Esophagus; A Rare Case Report and Review of the Literature

Thyrohyoid Ligament Calcification Mimicking Foreign Body Esophagus; A Rare Case Report and Review of the Literature

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Endoscopic retrieval devices

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