Foley catheter extraction of blunt esophageal foreign bodies

Mariani, Peter J.; Wagner, David K.

doi:10.1016/0736-4679(86)90006-5

Cited by 14 publications

(6 citation statements)

References 28 publications

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“…The review by O'Neill et al [17] noted an 84% success rate for oral extraction, whereas 16% were passed into the stomach and later passed uneventfully through the gastrointestinal tract. Successful balloon extraction was obtained in 85% to 98% of children in combined series of 769 patients, without complications [11,12,16,18,19]. Another review of 302 consecutive children with impacted esophageal coins noted a success rate of 93% without fluoroscopic control [20].…”

Section: Discussionmentioning

confidence: 99%

Esophageal foreign bodies in the pediatric population: our first 500 cases

Little

Shah

Peter

et al. 2006

Journal of Pediatric Surgery

157

129

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Section: Discussionmentioning

confidence: 99%

Esophageal foreign bodies in the pediatric population: our first 500 cases

Little

Shah

Peter

et al. 2006

Journal of Pediatric Surgery

157

129

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“…13 Objects that have been impacted for more than a few hours, such as sharp objects, buttons, batteries and objects that are not smooth or inert, can be removed safely by flexible endoscope. 13,14 However, the procedure is costly and must be performed by a skilled endoscopist. In selected cases, FB removal may be accomplished using a balloontipped catheter.…”

Section: Discussionmentioning

confidence: 99%

“…Contraindications to this procedure include acute distress, complete obstruction, impaction for more than 24 hours, unknown FB, known esophageal disease and impaction of objects that are not inert or smooth. 14 The technique of pushing the FB into the stomach with a bougie has also been advocated. 12 Those advocating balloon catheter or bougienage technique cite the following advantages over esophagoscopy: avoidance of hospitalization, avoidance of the risks of general anesthesia and endotracheal intubation, and avoidance of the risks of esophagoscopy.…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies of the Esophagus: A Two-Year Prospective Study

Ashoor

Momen

2000

Ann Saudi Med

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Foreign body (FB) impaction of the upper digestive tract is a common problem in both children and adults. The estimated annual incidence of foreign body ingestion in the United States is about 120 per million population, with approximately 1500 deaths each year.1 Typically, two types of FBs are encountered-true FB (e.g., coins, buttons) and food-related FB. The three common areas for esophageal FB impaction are just below the cricopharyngeal muscle (70%), the site where the aortic arch crosses the anteromedial wall of the esophagus (20%), and at the gastroesophageal junction (10%). In most cases, an impacted esophageal FB is an urgent medical situation, but not a life-threatening one. 2,3 This study was aimed at establishing the pattern of ingested FBs, their symptomatologies, presentation, techniques of removal and the possible associated complications. Subjects and MethodsA prospective study for suspected impacted esophageal FB was carried out in the ENT Department at King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia, from January 1995 to August 1997. The study involved 26 patients admitted to the ENT ward with a history of impacted FB. They comprised 23 adults (88%) and three children (12%). Four other children were excluded from the study because the FB had passed spontaneously down the esophagus during the observation period.The age of the patients ranged from 2 to 71 years (mean 35 years), and the male to female ratio was 14:12. Fourteen patients (54%) were Saudis and 12 (46%) were non-Saudis. Twenty-five of the patients (96%) were admitted through the Emergency Department for urgent esophagoscopy, while the other one was admitted through the Outpatient Department-an Indian female who presented with dysphagia and odynophagia after a meal of chicken three days prior to presentation. The details of the patients, including age, sex, nationality, source of admission, urgency of the procedure, types of FB found, the status of the esophagus if no FB were found, complications, and the duration of the hospital stay, were analyzed, and are discussed below. ResultsThe summary of the presenting symptoms of the disease (Table 1) shows that dysphagia (22 cases) and odynophagia (21 cases) were the most common presenting symptoms. X-ray findings were positive in only seven cases (27%), in which the foreign bodies involved were three coins, two fish bones, a meat bone and a chicken bone. The clinical history and patients' symptoms were found to be the most accurate indicators of impacted esophageal FB. All the patients were admitted to the hospital, and the removal of the FB was accomplished under general anesthesia with endotracheal intubation, using the rigid esophagoscopy technique. The types of FB found were fish bone (seven cases, 27%); meat bone (six cases, 23%); coins (three cases, 12%); chicken bone (one case, 4%); meat bolus (one case, 4%); and pigeon bone (one case, 4%).All three children in our study had coins lodged in the cervical esophagus. These were removed by the use of grasping forceps...

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“…Reports in the literature have described a success rate of ≥85%, and the procedure is associated with a few adverse effects [171819]. The catheter should be inserted slowly to prevent its entry into the airway, and careful monitoring is required for symptoms of airway irritation, including cough or dyspnea; however, minor adverse events could occur.…”

Section: Foley Catheter Methods For Fb Removalmentioning

confidence: 99%

Foreign Body Removal in Children Using Foley Catheter or Magnet Tube from Gastrointestinal Tract

Choe

2019

Pediatr Gastroenterol Hepatol Nutr

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Foreign body (FB) ingestion of children is a common pediatric emergency requiring medical attention. Pediatric emergency physicians and gastroenterologists often encounter nervous and distressed situations, because of children presenting with this condition in the common clinical practice. When determining the appropriate timing and indications for intervention, physicians should consider multiple patient- and FB-related factors. The utilization of a flexible endoscopy is considered safe and effective to use in these cases, with a high success rate, for the effective extraction of FBs from the gastrointestinal tract of a child. Additionally, a Foley catheter and a magnet-attached Levin tube have been used for decades in the case of FB removal. Although their use has decreased significantly in recent times, these instruments continue to be used for several indications. Using a Foley catheter for this purpose does not require special training and does not necessarily require sedation of the patient or fluoroscopy, which serve as advantages of utilizing this method for foreign object retrieval. An ingested magnet or iron-containing FB can be retrieved using a magnet-attached tube, and can be effective to retrieve an object from any section of the upper gastrointestinal tract that can be reached. Simple and inexpensive devices such as Foley catheters and magnet-attached tubes can be used in emergencies such as with the esophageal impaction of disk batteries if endoscopy cannot be performed immediately (e.g., in rural areas and/or in patients presenting at midnight in a facility, especially in those without access to endoscopes or emergency services, or in any situation that warrants urgent removal of a foreign object).

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Foley catheter extraction of blunt esophageal foreign bodies

Cited by 14 publications

References 28 publications

Esophageal foreign bodies in the pediatric population: our first 500 cases

Esophageal foreign bodies in the pediatric population: our first 500 cases

Foreign Bodies of the Esophagus: A Two-Year Prospective Study

Foreign Body Removal in Children Using Foley Catheter or Magnet Tube from Gastrointestinal Tract

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