Management of Oesophageal Foreign Bodies
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Objective: This study of Esophageal foreign bodies presenting at casualty, E.N.T. and Pediatrics Departments Govt. General Hospital, Guntur from 2012 to 2015 was conducted to know the epidemiology, clinical features, diagnosis, different techniques of foreign body removal and complications during their removal and management. Material And Methods: A total of 50 patients with a clear history of foreign body ingestion with chief complaint of dysphagia and /or odynophagia were admitted and treated in Govt. General Hospital, Guntur during the period from 2012 to 2015. There were 8 adult males, 6 adult females and 36 children. The main symptoms were difficulty and pain during swallowing, drooling of saliva, vague sensation of foreign body, and pain neck. All patients were subjected to thorough physical examination and radiological investigations In cases of radiolucent foreign bodies with history of strong suspicion, flexible oesophagoscopy was undertaken to confirm or otherwise instead of contrast study. Results: Rigid oesophagoscopy under general anesthesia was performed to remove FB successfully in all cases expect one case of impacted denture in esophagus, which required cervical oesophagotomy after failed removal through oesophagoscopy. Conclusion: Rigid oesophagoscopy under general anesthesia is still the golden standard for removal of FB’S in oesophagus.
Authors and Affiliations
N. Subrahmanyam, T. Rajendra Prasad, K. Santhaiah
Keywords
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