Thoracoscopic Retrieval of a “Smiling” Foreign Body From the Proximal Esophagus

Palanivelu, Chinnusamy; Rangarajan, Muthukumaran; Parthasarathi, Ramakrishnan; Senthilnathan, P.

doi:10.1097/sle.0b013e3181661919

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…In literature, few cases of thoracoscopic removal of ingested foreign bodies have been reported. 8 In our patient foreign body was large hard and impacted at lower oesophagus hence it was difficult to remove with endoscopy hence we opted for video assisted thoracoscopic approach for removal of impacted large foreign body.…”

Section: Discussionmentioning

confidence: 87%

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Impacted foreign body in oesophagus video assisted thoracoscopic surgery approach

et al. 2019

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Ingested foreign body in oesophagus is very common in emergency department. The most frequently ingested foreign bodies in children are coins, alkaline batteries while in adults’ meat, fish bones, denture. Most of the ingested foreign bodies pass spontaneously but 1% or less will require surgery. Here we report an interesting case of a mentally retarded young girl with impacted large stone in the lower oesophagus in whom endoscopic approach had failed. Then video assisted thoracoscopic surgery was done successfully to extract the impacted foreign body. A thoracoscopic approach is much safer and feasible in such cases.

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Section: Discussionmentioning

confidence: 87%

“…1,4 Since most of the presentations are in children the overall commonest site of FB presentation in the esophagus is in its upper third. 1,4,8 The individual characteristics of the ingested body also determine the lodgment site. Large and rigid FBs tend to lodge in the pyriform fossa and esophagus.…”

Section: Discussionmentioning

confidence: 99%

Impacted foreign body in oesophagus video assisted thoracoscopic surgery approach

et al. 2019

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“…Traditionally, the transthoracic approach is used to remove an ingested foreign body with transesophageal migration into the mediastinum. Multiple reports have also described the thoracoscopic removal of the foreign body from the esophagus [ 7 - 9 ]. Thoracoscopy minimizes thoracotomy-related complications; however, it often requires single lung ventilation which is associated with pulmonary complications in the postoperative period [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Transesophageal migration of a foreign body is an indication for surgical removal as it is associated with devastating complications like aortoesophageal and aortopulmonary fistulas [ 2 - 6 ]. In the literature, it is seen that a transthoracic approach (thoracotomy or thoracoscopy) is commonly used to remove a foreign body in the mediastinum [ 7 - 9 ]. As the transthoracic approach often requires single lung ventilation, it is associated with more pulmonary complications.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Removal of an Ingested Foreign Body with Transesophageal Migration into the Mediastinum

Nagaraj

Kalayarasan

Pottakkat

et al. 2018

Cureus

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Removal of a transesophageal migrated foreign body is recommended to prevent injury to adjacent structures. As the endoscopic approach is not feasible for a transesophageal foreign body migrated into the mediastinum, the thoracoscopic approach is recommended. The thoracoscopic approach often requires single lung ventilation and is associated with more pulmonary complications. The use of a laparoscopic approach to remove a mediastinal foreign body has not been reported earlier. In this report, the authors describe a laparoscopic approach for the removal of a transesophageal migrated foreign body into the lower mediastinum.

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“…Thoracoscopy minimises the trauma of thoracotomy and may be offered for patients with impacted dentures in the thoracic oesophagus [20,21]. In the later part of this series, two patients underwent thoracoscopic extraction of impacted dentures, with good results.…”

Section: Thoracoscopic Techniquementioning

confidence: 95%

Surgical Management of Impacted Dentures in the Oesophagus—A 10-year experience from an Upper Gastrointestinal Surgical Unit

et al. 2021

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Oesophageal denture impactions may have varying presentations ranging from dysphagia to a complex tracheo-oesophageal fistula (TOF). Endoscopic removal of the denture may be unsuccessful due to the sharp-edged nature of the denture with metal appendages and delayed presentation. In such instances, surgical treatment may be the safer option. We aim to study the different presentations of impacted dentures in the oesophagus requiring operative intervention and the best surgical approach in these patients. This is a case series analysis of our experience in the surgical management of patients with impacted oesophageal dentures, presenting to our Upper Gastrointestinal Surgical Unit, over a 10-year period from 2009 to 2019. A total of 15 patients (M: F-8:7) with ages ranging from 25 to 67 years underwent surgical removal of impacted dentures during the time period. Dysphagia was the commonest presenting symptom, and the site of impaction was equally common in both cervical and thoracic oesophagus. Cervical impactions were managed by a neck exploration and the thoracic impactions necessitated an open or minimally invasive transthoracic extraction. Three patients with thoracic impactions presented late with tracheo-oesophageal fistula formation. A novel technique (neo-membranous oesophageal patch-NMOP) was used in the management of TOF in these patients. Surgical management of impacted oesophageal dentures is required in cases of failed endoscopic retrieval. The surgical management should involve an algorithmic approach based on the site of impaction, associated local sepsis, and the presence or absence of a fistula. Tracheo-oesophageal fistula is a rare complication of impacted dentures and we have successfully used a novel technique (NMOP) for the management of this difficult problem.

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Thoracoscopic Retrieval of a “Smiling” Foreign Body From the Proximal Esophagus

Abstract: Minimally invasive techniques have been found to be very useful in the removal of intraluminal FBs, especially when conservative measures fail. Prevention of such incidents should be emphasized.

Cited by 9 publications

References 8 publications

Impacted foreign body in oesophagus video assisted thoracoscopic surgery approach

Impacted foreign body in oesophagus video assisted thoracoscopic surgery approach

Laparoscopic Removal of an Ingested Foreign Body with Transesophageal Migration into the Mediastinum

Surgical Management of Impacted Dentures in the Oesophagus—A 10-year experience from an Upper Gastrointestinal Surgical Unit

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