Skip to main content
SpringerLink
Log in

Management of Foreign Bodies of Upper Digestive Tract

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The objective of this study was to determine the management of rigid esophagoscopy for extraction of foreign bodies (FBs) upper digestive tract in a tertiary care hospital. This descriptive study was conducted at the Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from January 2008 to December 2010. This study included 380 patients. After taking detailed history, thorough examination and investigations, a well informed consent was obtained. Rigid esophagoscopy was performed under general anesthesia. The data was analyzed using the statistical program for social sciences (SPSS version 17). Our study with total duration of 3 years included 380 cases constituting 227 male and 153 female, with male:female ratio of 1.48:1. The age of the patients ranged from 1 to 80 years with mean age of 39.39 ± SD 6.81 years. The clinical features of these patients were mainly dysphagia for solids (72.89%) followed by throat pain (18.15%). Site of impaction of FBs was that in 303 cases (79.73%) cricopharynx, in 61 cases (16.05%) mid-esophagus and in 16 cases (4.21%) pyriform fossa was involved. Rigid esophagoscopy was performed in all cases and a variety of FB was extracted from upper digestive tract. The commonest FB was coin 58.42% followed by meat bolus 17.10%. It is concluded from this study that the commonest FB upper digestive tract in children is coin while in adults is meat bolus in this part of the world. Rigid esophagoscopy is still the technique of choice for its extraction and its complication can be minimized if performed by expert hands.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kurzbauma A, Nicolab A, Liebermana L, Saforia G (2006) Laparoscopic removal of a swallowed dinner fork from the stomach: a minimally-invasive management for swallowed gastrointestinal foreign bodies. Isr J Emerg Med 6:33–35

    Google Scholar 

  2. Vamanshankar H, Nair AB, Rajan N (2011) Metallic foreign body penetrating the carotid sheath: a case report. Malays J Med Sci 18:72–75

    PubMed Central  PubMed  Google Scholar 

  3. Pelucchi S, Bianchini C, Ciorba A, Pastore A (2007) Unusual foreign body in the upper cervical oesophagus: case report. Acta Otorhinolaryngol Ital 27:38–40

    CAS  PubMed Central  PubMed  Google Scholar 

  4. Sudhakar PJ, Dossary JA, Malik N (2008) Spondylodiscitis complicated by the ingestion of a button battery: a case report. Korean J Radiol 9:555–558

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bennett AMD, Sharma A, Price T, Montgomery PQ (2008) The management of foreign bodies in the pharynx and oesophagus using transnasal flexible laryngo-oesophagoscopy (TNFLO). Ann R Coll Surg Engl 90:13–16

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Gregori D, Foltran F (2010) Foreign body injuries in the upper-aero-digestive tract in children: the Susy Safe project results. Inj Prev 16:216–218

    Article  Google Scholar 

  7. Shivakumar AM, Naik AS, Prashanth KB, Yogesh BS, Hongal GF (2004) Foreign body in upper digestive tract. Indian J Pediatr 71:689–693

    Article  CAS  PubMed  Google Scholar 

  8. Schlesinger AE, Crowe JE (2011) Sagittal orientation of ingested coins in the esophagus in children. Am J Roentgenol 196:670

    Article  Google Scholar 

  9. Raney LH, Losek JD (2008) Esophageal coin and atypical radiograph. Pediatr Emerg Care 24:645

    Article  PubMed  Google Scholar 

  10. Katsinelos P, Kountouras J, Paroutoglou G et al (2006) Endoscopic techniques, management of foreign body ingestion, food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol 40:784

    Article  PubMed  Google Scholar 

  11. Gmeiner D, von Rahden BH, Meco C et al (2007) Flexible versus rigid endoscopy for treatment of foreign body impaction in the esophagus. Surg Endosc 21:2026

    Article  CAS  PubMed  Google Scholar 

  12. Cetinkursun S, Sayan A, Demirbag S et al (2006) Safe removal of upper esophageal coins by using Magill forceps: two centers’ experience. Clin Pediatr 45:71

    Article  Google Scholar 

  13. Wyllie R (2006) Foreign bodies in the gastrointestinal tract. Curr Opin Pediatr 18:563

    Article  PubMed  Google Scholar 

  14. Sebeih KA, Valvoda M, Sobeih A, Sihan MA (2006) Perforating and migrating pharyngoesophageal foreign bodies: a series of 5 patients. Ear Nose Throat J 85:600–603

    Google Scholar 

  15. Shaariyah MM (2009) Retrospective review of surgical management of foreign body ingestion. Med J Malaysia 64:307–310

    CAS  PubMed  Google Scholar 

  16. Zhao-Shen L, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z (2006) Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc 64:485–492

    Article  Google Scholar 

  17. Ahmad Z, Mutiullah S, Zahid T, Marfani MS (2009) Upper gastro intestinal tract foreign bodies: presentation and management. Pak J Surg 25:106–109

    Google Scholar 

  18. Adhikari P, Shrestha BL, Baskota DK, Sinha BK (2007) Accidental foreign body ingestion: analysis of 163 cases. Int Arch Otorhinolaryngol 11:267–270

    Google Scholar 

  19. Hussain G, Iqbal M, ullah I, Hussain M, Ali S (2010) Esophageal foreign bodies: an experience with rigid esophagoscope. Gomal J Med Sci 8:218–220

    Google Scholar 

  20. Hameed K, Hassan MK, Rehman S, Khan D, Khan IM, Khattak AK (2011) Management of foreign bodies in the upper gastrointestinal tract with flexible endoscope. J Postgrad Med Inst 25:29–34

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of E.N.T, Head & Neck Surgery, Postgraduate Medical Institute, Peshawar, Khyber Pakhtunkhwa, Pakistan

    Fazal I. Wahid, Habib Ur Rehman & Iftikhar Ahmad Khan

Authors
  1. Fazal I. Wahid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Habib Ur Rehman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Iftikhar Ahmad Khan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fazal I. Wahid.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wahid, F.I., Rehman, H.U. & Khan, I.A. Management of Foreign Bodies of Upper Digestive Tract. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 203–206 (2014). https://doi.org/10.1007/s12070-011-0426-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-011-0426-0

Keywords

Search

Navigation