Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-07-01T22:56:25.517Z Has data issue: false hasContentIssue false
  • English
  • Français

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Published online by Cambridge University Press:  16 July 2021

P D Chakravarty ,
T Kunanandam  and
G Walker
P D Chakravarty*
Affiliation:
Department of Paediatric Surgery, Glasgow, Scotland, UK
T Kunanandam
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Royal Hospital for Children, Glasgow, Scotland, UK
G Walker
Affiliation:
Department of Paediatric Surgery, Glasgow, Scotland, UK
*
Author for correspondence: Mr Patrick Daragh Chakravarty, Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, GlasgowG51 4TF, Scotland, UK E-mail: Daragh.chakravarty@ggc.scot.nhs.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means.

Method and results

After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction.

Conclusion

This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

Keywords

EsophagusDilatationGranuloma, Foreign Body
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 8 , August 2021 , pp. 746 - 748
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr P D Chakravarty takes responsibility for the integrity of the content of the paper

References

Gregori, D, Scarinzi, C, Morra, B, Salerni, L, Berchialla, P, Snidero, S et al. Ingested foreign bodies causing complications and requiring hospitalization in European children: results from the ESFBI study. Pediatr Int 2010;52:26–32CrossRefGoogle ScholarPubMed
Stack, LB, Munter, DW. Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am 1996;14:493–521CrossRefGoogle ScholarPubMed
Russell, R, Lucas, A, Johnson, J, Yannam, G, Griffin, R, Beierle, E et al. Extraction of esophageal foreign bodies in children: rigid versus flexible endoscopy. Pediatr Surg Int 2014;30:417–22CrossRefGoogle ScholarPubMed
Haddad, N, Wilson, JD, Fard, D, Levi, JR. Pediatric button battery ingestion: publication trends in the literature. Am J Otolaryngol 2020;41:102401CrossRefGoogle ScholarPubMed
Hawkins, DB. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol 1990;99:935–40CrossRefGoogle ScholarPubMed
Towbin, R, Lederman, HM, Dunbar, JS, Ball, WS, Strife, JL. Esophageal edema as a predictor of unsuccessful balloon extraction of esophageal foreign body. Pediatr Radiol 1989;19:359–60CrossRefGoogle ScholarPubMed
Munoz, JC, Habashi, MD, Corregidor, AM, Bass, R, Alizadeh, M, Gupta, R et al. Extraction of hollow gastric foreign bodies by flexible upper endoscopy assisted by a through-the-scope balloon catheter for anchoring. Gastrointest Endosc 2008;67:519–21CrossRefGoogle ScholarPubMed