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Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body

Year 2015, Volume: 5 Issue: 2, 0 - 0, 01.06.2015

Hakan Özdemir Oğuzhan Sunamak Meryem Günay Gürleyik Zehra Ünal Özdemir

Abstract

Esophageal perforations are emergent cases. They may be iatrogenic, spontaneous or because of foreign body. The first diagnostic tool and intervention are imaging and flexible endoscopy in the case of foreign body. Flexible endoscopy is easy to use, widely available and has a low complication rate. Rigid endoscopy needs experience and general anesthesia.

54-years-old female patient came with the complaint of goose bone piece impaction in esophagus. Direct graphs showed the foreign body in cervical esophagus. Flexible endoscopy failed and control CT revealed free air around cervical esophagus and perforation. It was removed by rigid endoscopy.

Esophageal foreign bodies must be removed immediately. If perforation occurs, main approach is primary repair in early and, resection and anastomosis in late ones. Non-operative treatment may be tried in clinically stable patients.  Endoscopic stenting, clip application, and percuatenous abcess drainage may decrease surgery need. If flexible endoscopy fails, rigid endoscopy may be more appropriate.

References

  • Hasimoto CN, Cataneo C, Eldib R, Thomazi R, Pereira RS, Minossi JG, et al. Efficacy of surgical versus conservative treatment in esophageal perforation: a systematic review of case series studies. Acta cirurgica brasileira / Sociedade Brasileira para Desenvolvimento Pesquisa em Cirurgia 2013;28:266-271.
  • Webb WA. Management of foreign bodies in the upper gastrointestinal tract. Gastroenterology 1988;94:204–16.
  • Herranz-Gonzalez J, Martinez-Vidal J, Garcia-Sarandeses A, Vazquez-Barro C. Esophageal foreign bodies in adults. Otolaryngol Head Neck Surg 1991;105:649–54
  • Alaradi O, Bartholomew M, Barkin J. Upper endoscopy and glucagon: a new technique in the management of acute esophageal food impaction. Am J Gastroenterol 2001;96:912–3
  • Kim JK, Kim SS, Kim JI, Kim SW, Yang YS, Cho SH, et al. Management of foreign bodies in the gastro-intestinal tract: an analysis of 104 cases in children. Endoscopy 1999;31:301–4.
  • Thapa BR, Singh K, Dilawari JB. Endoscopic removal of foreign bodies from the gastrointestinal tract. Indian Pediatr 1993;30:1105–10.
  • ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085–91.
  • Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007;84:1854–7
  • Vogel SB, Rout WR, Martin TD, Abbitt PL. Esophageal perforation in adults: Aggressive, conservative treatment lowers morbidity and mortality. Ann Surg 2005;241:1016-1021;discussion 1021-1023.
  • El Hajj II, Imperiale TF, Rex DK, Ballard D, Kesler KA, Birdas TJ, et al. Treatment of esoph-ageal leaks, fistulae, and perforations with temporary stents: evaluation of efficacy, adverse events, and factors associated with successful outcomes. Gastrointest Endosc. 2014 Apr;79(4):589-98

Year 2015, Volume: 5 Issue: 2, 0 - 0, 01.06.2015

Hakan Özdemir Oğuzhan Sunamak Meryem Günay Gürleyik Zehra Ünal Özdemir

Abstract

References

  • Hasimoto CN, Cataneo C, Eldib R, Thomazi R, Pereira RS, Minossi JG, et al. Efficacy of surgical versus conservative treatment in esophageal perforation: a systematic review of case series studies. Acta cirurgica brasileira / Sociedade Brasileira para Desenvolvimento Pesquisa em Cirurgia 2013;28:266-271.
  • Webb WA. Management of foreign bodies in the upper gastrointestinal tract. Gastroenterology 1988;94:204–16.
  • Herranz-Gonzalez J, Martinez-Vidal J, Garcia-Sarandeses A, Vazquez-Barro C. Esophageal foreign bodies in adults. Otolaryngol Head Neck Surg 1991;105:649–54
  • Alaradi O, Bartholomew M, Barkin J. Upper endoscopy and glucagon: a new technique in the management of acute esophageal food impaction. Am J Gastroenterol 2001;96:912–3
  • Kim JK, Kim SS, Kim JI, Kim SW, Yang YS, Cho SH, et al. Management of foreign bodies in the gastro-intestinal tract: an analysis of 104 cases in children. Endoscopy 1999;31:301–4.
  • Thapa BR, Singh K, Dilawari JB. Endoscopic removal of foreign bodies from the gastrointestinal tract. Indian Pediatr 1993;30:1105–10.
  • ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085–91.
  • Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007;84:1854–7
  • Vogel SB, Rout WR, Martin TD, Abbitt PL. Esophageal perforation in adults: Aggressive, conservative treatment lowers morbidity and mortality. Ann Surg 2005;241:1016-1021;discussion 1021-1023.
  • El Hajj II, Imperiale TF, Rex DK, Ballard D, Kesler KA, Birdas TJ, et al. Treatment of esoph-ageal leaks, fistulae, and perforations with temporary stents: evaluation of efficacy, adverse events, and factors associated with successful outcomes. Gastrointest Endosc. 2014 Apr;79(4):589-98
There are 10 citations in total.

Details

Journal Section Case Report
Authors

Hakan Özdemir

Oğuzhan Sunamak

Meryem Günay Gürleyik This is me

Zehra Ünal Özdemir This is me

Publication Date June 1, 2015
Published in Issue Year 2015 Volume: 5 Issue: 2

Cite

APA Özdemir, H., Sunamak, O., Gürleyik, M. G., Ünal Özdemir, Z. (2015). Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body. Bozok Tıp Dergisi, 5(2).
AMA Özdemir H, Sunamak O, Gürleyik MG, Ünal Özdemir Z. Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body. Bozok Tıp Dergisi. June 2015;5(2).
Chicago Özdemir, Hakan, Oğuzhan Sunamak, Meryem Günay Gürleyik, and Zehra Ünal Özdemir. “Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body”. Bozok Tıp Dergisi 5, no. 2 (June 2015).
EndNote Özdemir H, Sunamak O, Gürleyik MG, Ünal Özdemir Z (June 1, 2015) Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body. Bozok Tıp Dergisi 5 2
IEEE H. Özdemir, O. Sunamak, M. G. Gürleyik, and Z. Ünal Özdemir, “Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body”, Bozok Tıp Dergisi, vol. 5, no. 2, 2015.
ISNAD Özdemir, Hakan et al. “Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body”. Bozok Tıp Dergisi 5/2 (June 2015).
JAMA Özdemir H, Sunamak O, Gürleyik MG, Ünal Özdemir Z. Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body. Bozok Tıp Dergisi. 2015;5.
MLA Özdemir, Hakan et al. “Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body”. Bozok Tıp Dergisi, vol. 5, no. 2, 2015.
Vancouver Özdemir H, Sunamak O, Gürleyik MG, Ünal Özdemir Z. Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body. Bozok Tıp Dergisi. 2015;5(2).
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