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Foreign body esophagus: when endoscopic removal fails…
Diva Shreshtha1, Kapil Sikka1, Chirom Amit Singh1
1Department of Otorhinolaryngology, Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
Summary
Ingested foreign bodies, particularly dentures in the elderly, can cause esophageal impaction. Surgery may be necessary when endoscopic retrieval fails or as a primary treatment.
Area of Science:
- Gastroenterology
- Otolaryngology
- Emergency Medicine
Background:
- Foreign body ingestion is common in pediatric and adult populations.
- Artificial dentures are a frequent esophageal foreign body, especially in the elderly.
- The radiolucent nature of dentures complicates diagnosis.
Observation:
- Esophageal impaction of foreign bodies, including dentures, presents diagnostic and management challenges.
- Endoscopic retrieval using rigid or flexible esophagoscopes is a common approach.
- The role of surgery as a primary or rescue procedure for esophageal foreign bodies requires definition.
Findings:
- This report details two cases of impacted foreign bodies in the esophagus.
- One case was managed successfully with primary surgical intervention.
- The second case required surgery after failed endoscopic retrieval attempts.
Implications:
- Surgical management is a viable option for esophageal foreign body impaction, especially when endoscopy is unsuccessful.
- Defining the indications for surgical intervention in esophageal foreign body retrieval is crucial.
- Improved diagnostic strategies for radiolucent esophageal foreign bodies are needed.
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