Extraction Oesophageal Foreign Body with Rigid Esophagoscopy

DOI

10.2991/978-94-6463-280-4_5How to use a DOI?

Keywords

Oesophageal foreign bodies; Management; Rigid esophagoscopy

ABSTRACT

Objective

Ingesting foreign objects can happen accidentally or on intentionally. Accidental foreign body (FB) ingestion happens in adults, most frequently in elderly edentulous, subjects with mental health disorders, or subjects who are intoxicated. Pediatric patients are the most frequently impacted patients. Endoscopic intervention is the safest and most efficient way for treating oesophageal foreign bodies, which make up one-third of foreign bodies retained in the gastrointestinal tract. In this study, we describe FB impaction by rigid endoscopy.

Background

A 28-year-old man who complained of having a lump in his throat was admitted to the hospital accompanied by other symptoms like a hot potato voice, a history of fever, drooling from the mouth, nausea, and vomiting. He is a construction worker and has no previous history of mental illness. The PA chest x-ray does not indicate any anomalies, but the neck soft tissue x-ray showed a large radiopaque shadow of an unknown object that was likely made of ceramics. The patient underwent an urgent rigid esophagoscopy under general anesthesia in the surgical room.

Result

The most frequently afflicted patient population is children, however unintentional FB ingestion can also happen in adults, most frequently in old people without teeth, people who have mental health disorders, people who are mentally retarded, or those who are drunk. The history and radiological findings are used to make the diagnosis. The most typical symptoms are dysphagia or a feeling of a foreign body. The first course of action when a radio-opaque item is suspected is often routine x-rays. Otolaryngologists have usually employed rigid endoscopy while under general anesthesia to remove sharp-pointed objects from the oesophagus.

Conclusion

Oesophageal FB impaction is an emergency case that needs intervention under 24 hours to prevent complication. The first choice in the treatment of oesophageal FB is endoscopic intervention.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Gama Antares
AU  - R. Ayu Hardianti Saputri
AU  - Mohammad Adithya Prawiranata
PY  - 2023
DA  - 2023/10/31
TI  - Extraction Oesophageal Foreign Body with Rigid Esophagoscopy
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 23
EP  - 26
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_5
DO  - 10.2991/978-94-6463-280-4_5
ID  - Antares2023
ER  -