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Epidemiological, Clinical and Radiological Profile of Patients with Foreign Body Oesophagus: A Prospective Study

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To analyse the patients with foreign body oesophagus in relation to the clinico-radiological and socio-economic profile. The present prospective study was conducted on 100 consecutive patients of all age groups who underwent oesophagoscopy for suspected foreign body ingestion in a tertiary care hospital. The most common age group affected was 0–5 years. The median age was 5 ± 14.37 years. There was preponderance in males as compared to females, male to female ratio was 2.23:1. Majority (70%) of the patients, both males and females, belonged to rural areas. Lower socio-economic group was more commonly affected (54%). The most commonly reported symptom was foreign body sensation (55%) followed by vomiting (54%) and difficulty in swallowing (51%). Foreign body ingestion was witnessed in only 19% cases by the family members. The mean time between ingestion of the foreign body and admission to the hospital was found to be 4.5 h. The majority (97%) of foreign bodies were radio-opaque. The most common site of lodgement was just below the cricopharynx (89%). The most common foreign body retrieved in our series were coins (65%). The majority of foreign bodies (68%) were retrieved in 20–40 min after induction of general anaesthesia. In 99% of the patients we did not encounter any complications. The majority (93%) of the patient’s parents/relatives had curiosity to have a glimpse of the foreign body till they actually saw the retrieved foreign body. Foreign body lodgement is more common among children of lower socio-economic strata more so in rural areas. Rigid oesophagoscopy is a safe and effective procedure for removal of the foreign body. Early intervention makes it easier to extract the foreign body without complications.

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Acknowledgements

Dr. Savita Saini, Senior professor and head, Departmment of anaesthesiology, PGIMS, Rohtak, Haryana.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, 124001, India

    Vijay Kalra, S. P. S. Yadav & Anshu Mangla

  2. Bharat ENT Hospital, Bhiwani, India

    Rupender Ranga

  3. ESI Hospital, Panipat, India

    Himanshu Moudgil

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  1. Vijay Kalra
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  2. S. P. S. Yadav
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  3. Rupender Ranga
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  4. Himanshu Moudgil
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  5. Anshu Mangla
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Contributions

VK: Manuscript review, Final Approval. SPSY: Manuscript review, Final Approval. RR: Definition of intellectual content, Manuscript editing. HM: Data acquisition, Definition of intellectual content, Manuscript editing. AM: Definition of intellectual content, Literature search.

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Correspondence to Anshu Mangla.

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Kalra, V., Yadav, S.P.S., Ranga, R. et al. Epidemiological, Clinical and Radiological Profile of Patients with Foreign Body Oesophagus: A Prospective Study. Indian J Otolaryngol Head Neck Surg 74, 443–448 (2022). https://doi.org/10.1007/s12070-021-02553-5

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  • DOI: https://doi.org/10.1007/s12070-021-02553-5

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