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IP Journal of Otorhinolaryngology and Allied Science


Rigid esophagoscopy in the managment of esophageal foreign bodies


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Article Type : Research Article

Author Details: Pawan Kumar Sharma*

Volume : 2

Issue : 2

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 39

Article End Page : 43


Abstract

Introduction: Foreign body (FB) ingestion and impaction in the esophagus constitutes an important cause of morbidity and mortality worldwide. One third of foreign bodies retained in the gastrointestinal tract are present in the esophagus, mostly in children’s populations. Most of the impacted foreign bodies in the esophagus require removal with rigid esophagoscopy.
Objective:  This study seeks to highlight the challenges in the management of esophageal FB using rigid esophagoscopy. It will also evaluate the outcome of management. Their management depends on the anatomic location, shape, size of the foreign body and duration of impaction.
Materials and Methods:  This was a retrospective study of 60 patients with confirmed esophageal foreign bodies that were managed in the Ear, Nose and Throat (ENT) department of Government medical college, Ratlam from may 2018 to april 2019.The records of all patients that presented to the hospital with history of FB ingestion were retrieved from admission registers, theatre records and case files. Demographic and clinical data were documented and simple statistical table were used to illustrate the data. Their charts were reviewed for preoperative diagnosis, kind and location of foreign body, length of retention, management of patients, complications and length of hospitalization.
Results: The records of 60 patients were retrieved that presented with ENT emergencies. 50(83.33%) patients had radiologic confirmation of foreign bodies in their esophagus and 10(16.67%) were further confirmed during esophagoscopy. There were 35(8.33%) males and 25(41.67%) females with Male:Female ratio of  1:1.4. The age range was 1-70 years with a mean of 35+/-6.88 years. Majority of the foreign bodies 50(83.33%) were impacted in the cricopharangeal sphincter of the esophagus. Dentures ranked highest among the adult population, 15(25%) cases while coins ranked highest in the pediatric populations, 20(33.33%) cases. 6(10%) cases presented to the hospital after 72 hours. Complications occurred in 5(8.33%) cases.
Conclusion: The management of impacted esophageal foreign bodies with rigid esophagoscopy was an effective procedure despite its challenges. Use of a rigid esophagoscope is safe and reliable.

Keywords: Esophageal, Foreign bodies, Management challenges, Perforations, Rigid esophagoscopy.