Removal of oesophageal foreign bodies: comparison between oesophagoscopy and oesophagotomy in 39 dogs
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Abstract:
OBJECTIVES To compare complication rates and outcomes after removal of oesophageal foreign bodies by endoscopy or by oesophagotomy. METHODS Retrospective evaluation of medical records of dogs with oesophageal foreign bodies treated by endoscopy and/or oesophagotomy. Postoperative clinical signs, management, length of hospitalisation, type and rate of complications, and time interval to return to eating conventional diet were compared. RESULTS Thirty‐nine dogs diagnosed with oesophageal foreign bodies between 1999 and 2011 were included in the study. Most common breeds included West Highland white terrier, Jack Russell terrier and shih‐tzu. Successful endoscopic removal was possible in 24 out of 32 cases (Group 1), while surgical removal was successful in 15 out of 15 cases (7 of which had unsuccessful attempts at endoscopic removal) (Group 2). Length of hospitalisation, time to removal of gastrostomy tube and time to eat conventional diet did not differ between the groups. After foreign body removal, the incidence of oesophagitis, oesophageal stricture and perforation observed during repeated endoscopy were similar between the groups. CLINICAL SIGNIFICANCE In this retrospective study, removal of oesophageal foreign bodies either by oesophagoscopy or oesophagotomy had a similar outcome.Keywords:
Perforation
Medical record
Intraorbital foreign bodies, especially non-metallic ones, remain an important diagnostic and therapeutic problem. Organic foreign bodies contain large quantities of bacterial flora contributing to rapid onset of inflammation which may promptly damage the optic nerve. Further progression of inflammation may involve the structures of central nervous system. US examination is a preliminary, commonly available diagnostic method, although it is not always successful in visualizing foreign bodies. CT scan remains a standard investigation used to visualize intraorbital foreign bodies, although with organic foreign bodies, its results may be inconclusive. MRI allows for visualization and precise identification of foreign bodies, which is vital for surgery. The issue of intraorbital foreign bodies is an interdisciplinary problem requiring the co-operation between ophthalmologists and neurosurgeons.
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Foreign Body Ingestion
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Foreign Body Removal
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Objective To investigate the experience of diagnosis and treatment of the tracheobronchial foreign body in children.Methods Clinical Characteristics,diagnosis and treatment of 47 cases of tracheobronchial foreign body in children were retrospectively analyzed.Results Among 8 cases of tracheal foreign bodies,27 cases of right bronchial foreign bodies and 12 cases of left bronchial foreign bodies,35 cases of foreign bodies were removed by bronchoscopy,8 cases of foreign bodies were removed by direct laryngoscopy.1 case of foreign body was expectorated self.3 cases of foreign bodies were removed by tracheotomy because the foreign bodies were too large.Conclusions the preparation before operation shoule be sufficient.Emergency therapy should be prepared during the operation.Hard bronchoscopy was effectual reliable.
Tracheotomy
Rigid bronchoscopy
Foreign Body Removal
Foreign body aspiration
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Injuries by foreign bodies are a common problem in children, and sewing needles are not uncommonly found foreign bodies. Cutaneous foreign bodies are also occasionally seen, and these patients are referred to dermatologists because of skin findings resulting from body reactions. In this report we present an unusual case of a foreign body presenting as a linear skin eruption.
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The foreign bodies in the head and neck areas are common, but metallic foreign bodies are relatively rare. Foreign bodies embedded in soft tissue may remain asymptomatic for a very long time, so a patient may not be aware of these foreign bodies. These foreign bodies can cause toxic and allergic reactions, inflammation, or infection, but the severity of these complications varies widely. Removal can be difficult and time consuming, and the potential damage to surrounded tissues caused by the procedure must be weighed against the risk posed by a particular foreign body. We present a rare case of metallic foreign body in parapharyngeal space for twenty years and make recommendations regarding the successful evaluation and management of a such injuries. (J Clinical Otolaryngol 1999;10:264–267)
Parapharyngeal space
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Foreign Body Ingestion
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Background: In daily ENT practice foreign bodies in children are a frequent occurrence. In most instances, removal of the foreign body is easily accomplished. In some cases removal is only possible under brief general anesthesia. Objectives: The present work is intended to provide an overview of the first aid management of foreign bodies in the ENT field. Methods: The study was conducted at the Charite University Hospital Berlin, campus Virchow Klinikum (Germany). All children referred to the otolaryngologist on duty in the emergency room between 2009 - 2013 with a suspected foreign body were included in the retrospective study. Results: 517 children were included in our study. We removed foreign bodies from the following sites: ear 161, nasal cavity 237, nasopharynx 8, and oropharynx 29. Furthermore, 15 foreign bodies were found at other sites in the aerodigestive tract. 51 foreign bodies were removed under general anesthesia. Conclusions: The management of foreign bodies in ENT in children should be adapted to the location, the nature of the foreign body and the childâs age in order to ensure a safe and gentle removal. Interdisciplinary collaboration is required in particular to avoid complications.
Foreign Body Removal
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<b>Introduction:</b> The management of wounds with possible presence of a foreign body can pose major problems, especially for bodies that cannot be seen in X-ray scans. The most common materials of this type include wood and glass. The size of the foreign body is also important. If overlooked and left behind, even the smallest foreign body may result in permanent damage to local tissues or contribute to a systemic infection such as sepsis. The presence of a foreign body is not detected upon primary wound management in one-third of patients. Presented herein are the cases of four patients in whom foreign bodies in the form of splintered wood or glass shards were left in the wound following trauma, leading to significant difficulties in the diagnostics and removal of these foreign bodies.<b>Aim:</b> The aim of this study was to present four cases of patients presenting with non-metallic foreign bodies causing diagnostic difficulties due to the absence of shading components, and leading to complications such as purulent inflammation.<b>Materials and methods:</b> The study material was collected from the records of the Department of Forensic Medicine of the Pomeranian Medical University in Szczecin. Forensic medical opinions and medical records of the patients were analyzed.<b>Results:</b> Ultrasound and computed tomography (CT) scanning are promising methods for pinpointing the presence of foreign bodies such as splinters of wood and shards of glass within wounds. When left behind, a foreign body may lead to generalized inflammation and/or sepsis. Incomplete removal of the foreign body can result in chronic inflammatory reactions and consequent limb dysfunction.<b>Discussion:</b> The management of non-metallic foreign bodies in daily medical practice is discussed, and the reader is familiarized with the possible complications of a foreign body being left behind within the wounded tissue.
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Foreign bodies are uncommon, but they are important and interesting. Foreign bodies may be ingested, inserted into a body cavity, or deposited into the body by a traumatic or iatrogenic injury. Most ingested foreign bodies pass through the gastrointestinal tract without a problem. Most foreign bodies inserted into a body cavity cause only minor mucosal injury. However, ingested or inserted foreign bodies may cause bowel obstruction or perforation; lead to severe hemorrhage, abscess formation, or septicemia; or undergo distant embolization. Motor vehicle accidents and bullet wounds are common causes of traumatic foreign bodies. Metallic objects, except aluminum, are opaque, and most animal bones and all glass foreign bodies are opaque on radiographs. Most plastic and wooden foreign bodies (cactus thorns, splinters) and most fish bones are not opaque on radiographs. All patients should be thoroughly screened for foreign bodies before undergoing a magnetic resonance imaging study.
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Foreign Body Ingestion
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For patients who ingest foreign bodies, pre-operative radiography is an invaluable tool that allows the surgeon to confirm the presence of the foreign body, preempt potential difficulties and plan the best method for foreign body removal. This is particularly important when a foreign body is of usual shape and size. We present a series of radiographs and pictures of some of the retrieved foreign bodies of five patients who swallowed unusual foreign bodies.
Foreign Body Removal
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