Related Experiment Video
Updated: Jul 27, 2025
Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
Suspension Microesophagoscopy: A Simple Diagnostic And Therapeutic Technique For Foreign Body In Esophagus
Darmma Subramaniam1, Jeyasakthy Saniasiaya1, Jeyanthi Kulasegarah1
1Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603 Kuala Lumpur, Malaysia.
Insights
Pediatric foreign body ingestion in the esophagus is common. Suspension microesophagoscopy offers a magnified, two-handed approach for thorough examination and removal, improving upon traditional rigid esophagoscopy.
Area of Science:
- Otorhinolaryngology
- Pediatric Endoscopy
- Gastroenterology
Background:
- Foreign body ingestion is a frequent pediatric emergency.
- The cervical esophagus is the most common impaction site.
- Traditional rigid esophagoscopy has limitations, including missed embedded objects and perforation risk.
Purpose of the Study:
- To introduce and evaluate suspension microesophagoscopy for pediatric esophageal foreign bodies.
- To provide a magnified, two-handed examination technique.
- To improve diagnostic accuracy and procedural safety.
Main Methods:
- Utilized a Lindholm laryngoscope and suspension for esophageal opening retraction.
- Performed suspension microesophagoscopy under anesthesia.
- Employed a rigid telescope for magnified mucosal visualization.
Main Results:
- The technique allows for a two-handed surgical approach.
- Provides magnified visualization of the esophageal mucosa.
- Facilitates thorough examination for embedded foreign bodies.
Conclusions:
- Suspension microesophagoscopy is an advantageous technique for pediatric esophageal foreign bodies.
- It enhances visualization and procedural capability compared to rigid esophagoscopy.
- This method aids in the accurate diagnosis and safe removal of embedded foreign bodies.
Background:
Foreign body ingestion involving the paediatric age group is a common emergency referral encountered by Otorhinolaryngologists. The cervical oesophagus has been noted as the most prevalent site of impaction. Traditionally, a rigid oesophagoscopy would be required for examination under anaesthesia and removal of the foreign body is found, but this method may miss foreign bodies that are embedded into the mucosa, and faulty technique may result in perforation of the esophagus. Method and results: We present a suspension microesophagoscopy technique using a Lindholm laryngoscope and suspension to retract and suspend the opening of the oesophagus. Conclusion: This technique not only gives the surgeon an advantage to perform a two-handed procedure but also allows for a magnified examination of the oesophageal mucosa with the help of a rigid telescope for a thorough examination.
Bullet Point Summary:
The best diagnostic and therapeutic method for the management of foreign body in the oesophagus is examination under anaesthesia.Suspension microesophagoscopy can be done in the operation theatre with pre-existing instrument.This technique allows freedom for a two-handed technique.This technique gives a magnified visualisation of the mucosa revealing any embedded foreign body.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12070-022-03383-9.
More Related Videos
Related Concept Videos
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
01:21Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
01:24Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...