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How we do it: impacted oesophageal foreign body removal using a dilatation balloon
P D Chakravarty1, T Kunanandam2, G Walker1
1Department of Paediatric Surgery, Glasgow, Scotland, UK.
The Journal of Laryngology and Otology
|July 16, 2021
Summary
A novel technique successfully removed a hollow foreign body impacted in a child after conventional methods failed. This approach utilized a guidewire and dilatation balloon for safe retrieval, offering a new option for paediatric foreign body removal.
Area of Science:
- Otolaryngology
- Paediatric Gastroenterology
- Medical Device Technology
Background:
- Ingested foreign bodies are common in pediatric Ear, Nose, and Throat (ENT) cases.
- Standard retrieval methods include flexible or rigid esophagoscopy.
- This study addresses cases where conventional retrieval fails.
Purpose of the Study:
- To present a novel technique for removing impacted hollow foreign bodies.
- To describe a method for cases resistant to standard endoscopic retrieval.
- To offer a reproducible solution for difficult pediatric foreign body impactions.
Main Methods:
- A guidewire was inserted through the foreign body under fluoroscopic guidance.
- A dilatation balloon was advanced through the guidewire and the object's lumen.
- The balloon was inflated to dilate surrounding inflamed mucosa.
Main Results:
- The guidewire and balloon technique facilitated removal of the impacted foreign body.
- This method allowed for straightforward removal under traction.
- The technique was effective for a hollow object surrounded by granulation tissue.
Conclusions:
- A novel, reproducible technique for foreign body removal is presented.
- This method uses readily available equipment in tertiary centers.
- The technique is suitable for impacted hollow objects, especially those with granulation tissue.
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