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[Foreign bodies in the oesophagus].

K Skaansar1, T Dahl

  • 1Ore-nese-halsavdelingen, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 10, 1991
PubMed
Summary

This study on esophageal foreign bodies found meat was most common in elderly patients, while children most often swallowed coins. Esophageal perforations were rare, with most patients having non-malignant strictures.

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Area of Science:

  • Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Foreign bodies in the esophagus are a common concern, particularly in pediatric and geriatric populations.
  • Endoscopic examination is a primary diagnostic and therapeutic tool for esophageal foreign bodies.

Observation:

  • A review of 229 esophageal endoscopic examinations (1983-1989) was conducted for patients with suspected foreign bodies.
  • The majority of patients were over 60 years old.
  • Meat was the most frequent foreign body overall, especially in the elderly, while coins were prevalent in children.

Findings:

  • Meat foreign bodies were found more evenly distributed in the esophagus, whereas bones (meat/fish) were more common in the proximal esophagus.
  • Esophageal perforations occurred in 5 patients, with only one attributed to the endoscopic procedure.
  • 18% of patients presented with underlying esophageal pathologies, predominantly non-malignant strictures; no new cancers were identified.

Implications:

  • Understanding the common types and locations of esophageal foreign bodies aids in diagnosis and management.
  • Endoscopic procedures for foreign body removal are generally safe, with a low risk of iatrogenic complications.
  • The prevalence of non-malignant strictures highlights the importance of investigating underlying esophageal conditions in patients presenting with foreign bodies.

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