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Related Experiment Videos

Retrograde esophagoscopy for foreign body removal.

A R Winkler1, D T McClenathan, J A Borger

  • 1Division of Gastroenterology and Nutrition, All Children's Hospital, St. Petersburg, FL 33701.

Journal of Pediatric Gastroenterology and Nutrition
|May 1, 1989
PubMed
Summary

Coins swallowed by children can erode into the esophagus. Retrograde endoscopy after gastrostomy successfully removed these foreign bodies when upper endoscopy failed.

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Area of Science:

  • Pediatric Gastroenterology
  • Surgical Endoscopy
  • Foreign Body Ingestion

Background:

  • Esophageal foreign bodies can lead to complications like wall penetration and extraluminal migration.
  • Surgical intervention, such as thoracotomy, is sometimes necessary for removal.
  • Endoscopic retrieval is the preferred method, but can be challenging with complications.

Observation:

  • Two pediatric cases of coin ingestion where foreign bodies were undetected for months.
  • Coins eroded into the esophageal wall, causing strictures and granulation tissue.
  • Standard upper endoscopy was unsuccessful for retrieval due to these complications.

Findings:

  • Surgical gastrostomy followed by retrograde flexible endoscopy enabled successful coin removal.

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  • This approach bypassed the proximal esophageal strictures and granulation tissue.
  • Retrograde endoscopy proved effective in cases where antegrade methods failed.

    • Implications:

    • Retrograde endoscopy is a viable alternative for esophageal foreign body removal.
    • It offers a less invasive option compared to thoracotomy.
    • Consideration of retrograde endoscopy can prevent more extensive surgical procedures.