Flexible versus rigid endoscopy for treatment of foreign body impaction in the esophagus

Gmeiner, D.; Rahden, Burkhard H. A. von; Meço, Cem; Hutter, Jörg; Oberascher, G; Stein, Hubert J.

doi:10.1007/s00464-007-9252-6

Cited by 112 publications

(96 citation statements)

References 6 publications

(6 reference statements)

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“…Children between the ages of 6 months and 3 years are the most commonly affected. In our study 52.63% cases belonged to the group of patients with age less than 20 years which is also reported by Gmeiner et al [11]. In our study FB ingestion was more common in male (1.48:1) which is comparable to other studies [12,13] but in some of the reports there was no gender difference [14].…”

Section: Discussionsupporting

confidence: 89%

Management of Foreign Bodies of Upper Digestive Tract

Wahid

Rehman

Khan

2011

Indian J Otolaryngol Head Neck Surg

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The objective of this study was to determine the management of rigid esophagoscopy for extraction of foreign bodies (FBs) upper digestive tract in a tertiary care hospital. This descriptive study was conducted at the Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from January 2008 to December 2010. This study included 380 patients. After taking detailed history, thorough examination and investigations, a well informed consent was obtained. Rigid esophagoscopy was performed under general anesthesia. The data was analyzed using the statistical program for social sciences (SPSS version 17). Our study with total duration of 3 years included 380 cases constituting 227 male and 153 female, with male:female ratio of 1.48:1. The age of the patients ranged from 1 to 80 years with mean age of 39.39 ± SD 6.81 years. The clinical features of these patients were mainly dysphagia for solids (72.89%) followed by throat pain (18.15%). Site of impaction of FBs was that in 303 cases (79.73%) cricopharynx, in 61 cases (16.05%) mid-esophagus and in 16 cases (4.21%) pyriform fossa was involved. Rigid esophagoscopy was performed in all cases and a variety of FB was extracted from upper digestive tract. The commonest FB was coin 58.42% followed by meat bolus 17.10%. It is concluded from this study that the commonest FB upper digestive tract in children is coin while in adults is meat bolus in this part of the world. Rigid esophagoscopy is still the technique of choice for its extraction and its complication can be minimized if performed by expert hands.

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Section: Discussionsupporting

confidence: 89%

Management of Foreign Bodies of Upper Digestive Tract

Wahid

Rehman

Khan

2011

Indian J Otolaryngol Head Neck Surg

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“…1,[15][16][17][18] However, there is concern that the risks in a national population may be underestimated. It is thought that perforation risk is slightly higher in rigid than in flexible endoscopy 20 although a large study has shown no difference in complication or disimpaction rates between the two. 21 No literature was identified in which medical management of OSFBO led to perforation.…”

Section: Surgery Complicationsmentioning

confidence: 99%

The management of oesophageal soft food bolus obstruction: a systematic review

Leopard

Fishpool

Winter

2011

annals

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A food bolus obstruction of the oesophagus represents a potentially serious medical problem. It is generally agreed that sharp objects becoming lodged in the oesophagus or objects with a corrosive capacity (eg batteries) should be removed urgently.1 However, the management of oesophageal soft food bolus obstruction (OSFBO) is less clear. The aim of treatment is to prevent the occurrence of potentially serious complications of bolus obstruction, including perforation and mediastinitis. These complications may occur due to mucosal ischaemia resulting from prolonged impaction or iatrogenically during surgical removal.2 In many cases, therefore, the aim of treatment is initially to manage the patient medically to encourage resolution of the obstruction.The management of patients with OSFBO frequently involves a variety of specialties, either individually or in combination. These include the emergency care, general surgery and ENT teams. Currently, however, there is no recognised guidance regarding which medications are efficacious in the resolution of OSFBO. Furthermore, the timing of administration of any medical or surgical treatment is often based entirely on clinical judgement. The aim of this study was to perform a literature review regarding the management of OSFBO. MethodsA review of the literature was performed to evaluate the published evidence regarding pharmacological and surgical treatment of OSFBO. The Singleton Hospital library information department undertook searches of the Cochrane Library, the National Center for Biotechnology Information and the US National Library of Medicine resources. The following search strategies were used: > (oesophagus OR esophagus) AND buscopan -this yielded one case study 3 and two retrospective cohort studies;4,5 > (oesophagus OR esophagus) AND (cola OR coke OR coca-cola OR effervescent OR carbonated OR gas forming) -this yielded four retrospective cohort studies 6-9 and one case report; 10 > (oesophagus OR esophagus) AND glucagon -this yielded one randomised controlled trial 11 and two further studies; RESULTSThis systematic review of the management of OSFBO shows no evidence that any medical intervention is more effective than a 'watch and wait' policy in enabling spontaneous disimpaction. Furthermore, the use of hyoscine butylbromide for OSFBO probably stems from a misquoted textbook. Surgical removal of an OSFBO is effective but not without potential risk. There is some evidence to support surgical intervention within 24 hours to prevent complications deriving from the initial obstruction. CONCLUSIONS There is a need for large double-blind, randomised, placebo controlled trials of drugs used in the medical management of OSFBO. Until the results from such trials are available, the treatment of OSFBO will remain based on inconsistent clinical judgement.

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“…Serimizdeki olgulardan ikisinde 2.darlıkda biriken gıda artıkları bir olguda opere özofagus atrezisine sekonder darlık nedeniyle, diğerinde korazif madde içimine sekonder oluşan darlık sebebiyle tıkanma oluşmuştu. Bozuk para, çocuklar tarafından en fazla yutulan yabancı cisimdir (8,(16)(17)(18). Serimizdeki 1.darlıkda yabancı cisim 10 hastada olup 6'sında (%60' da ) paraydı.…”

Section: Discussionunclassified