ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Esophageal foreign bodies: analysis of 175 patients
Ufuk Çobanoğlu1, İrfan Yalçınkaya2
1 Yüzüncü Yıl Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Van
2 Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Göğüs Cerrahisi Kliniği, İstanbul
Background: We evaluated esophageal foreign bodies in children and adults and the methods used for the removal of these foreign bodies.

Methods: The study included 175 patients (99 males, 76 females; mean age 32±2 years; range 0 to 78 years) with esophageal foreign bodies. The patients were evaluated with regard to age, sex, manifestations, time to admission, the kind and localization of foreign bodies, radiographic findings, treatment approaches, length of hospitalization, morbidity and mortality.

Results: Of the study group, 85 patients (45.7%) were ≤20 years of age while 90 patients (51.4%) were above 20 years of age. Foreign bodies were most commonly encountered at the age brackets of 3 to 6 years (56.5%) and 41 to 50 years (51.1%) in patients ≤20 and >20 years old, respectively. Asymptomatic patients accounted for 27.4% of the cases. The most common symptom on presentation was hypersalivation (58.4), followed by odynophagia or failure to swallow (33.7%), dysphagia (32%), and chest pain (9.8%). One patient had a tumoral lesion at the esophagogastric junction. The most common foreign objects found were bone particles (24%), coins (17.7%), and pins (14.8%), the most common localization being the first narrowing and cervical esophagus. Removal was performed under general anesthesia by rigid esophagoscopy (64%) or under direct vision with the use of McGill forceps. No foreign bodies were found in 12 patients (6.9%) during rigid esophagoscopy. Surgical removal was performed in three patients. There were three esophageal perforations due to esophagoscopy and one due to delayed presentation. Mortality occurred in only one patient (0.6%).

Conclusion: Esophageal foreign bodies can be removed safely by endoscopic techniques. Rigid esophagoscopy is a safe and reliable technique for the removal of foreign bodies.

Keywords : Child; endoscopy, gastrointestinal; esophageal perforation/ etiology; esophagus/injuries; foreign bodies/diagnosis/ therapy
Viewed : 16683
Downloaded : 3011