Rigid Esophagoscopy for Foreign Body Extraction: Results and Complications in the Endoscopic Era

• Type: Article in International Scientific Journal
• Date: 2024

Authors

Alexandre, PL (Author) Other; Pinto, J (Author) Other; Costa, L (Author) Other; Marques, P (Author) Other; Carla Pinto Moura (Author) FMUP

Journal

Title: CUREUS JOURNAL OF MEDICAL SCIENCE

Vol. 16

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-00Z-X1A

DOI: 10.7759/cureus.53040

Abstract (EN): Introduction Rigid esophagoscopy (RE) has long been a part of otolaryngology practice. In the past decades, the procedure was less commonly performed due to the advances and availability of flexible endoscopic techniques. This study aims to describe the outcomes of RE performed to treat foreign body ingestion and to evaluate risk factors associated with postoperative complications. Methods Patients who underwent RE to treat foreign body ingestion in an otolaryngology emergency department of a Portuguese tertiary university hospital, between 2010 and 2020, were included. A total of 162 cases were analyzed, and data was collected retrospectively. Results The most common foreign bodies were meat bone (31.5%, n = 47), food impaction (28.8%, n = 43), and fish bone (19.5%, n = 29). The proximal esophagus was by far the most frequent location (80%, n = 118). Esophageal perforation occurred in 8% (13 patients), and there was a 2.5% (n = 4) mortality rate. The odds ratio of an esophageal perforation if the foreign body was completely or partially located outside the proximal esophagus was 4.67 times that of a foreign body exclusively in the proximal esophagus (OR = 4.67 [95% CI: 1.39-15.72]; p = 0.016; Fisher's exact test). Conclusion RE remains an effective and important technique in the management of ingested foreign bodies, particularly if endoscopic removal is unsuccessful. Foreign body location outside the proximal esophagus was associated with esophageal perforation.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7