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Cited 31 time in webofscience Cited 31 time in scopus
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Endoscopic removal of sharp foreign bodies impacted in the esophagus

Authors
Jeen, YTChun, HJSong, CWUm, SHLee, SWChoi, JHKim, CDRyu, HSHyun, JH
Issue Date
Jun-2001
Publisher
GEORG THIEME VERLAG KG
Keywords
Endoscopic removal; foreign bodies
Citation
ENDOSCOPY, v.33, no.6, pp.518 - 522
Indexed
SCIE
SCOPUS
Journal Title
ENDOSCOPY
Volume
33
Number
6
Start Page
518
End Page
522
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/22520
ISSN
0013-726X
Abstract
Background and Study Aims: Impacted sharp foreign bodies in the esophagus can be very difficult to manage. When attempts are made to remove such objects inappropriately, life-threatening complications such as perforation can occur. The aim of this study was to evaluate the safety and efficacy of endoscopic removal of impacted sharp foreign bodies in the esophagus using proximal dilatation with an oral side balloon or transparent cap. Patients and Methods: A total of 22 patients (10 men, 12 women) with impacted sharp foreign bodies in the esophagus underwent endoscopic extraction. The following technique was successfully performed at our hospital. An oral side balloon (Top Co., Japan) for esophageal variceal sclerotherapy was attached to the distal part of the endoscope, With the patient under local anesthesia, the endoscope was inserted as far as the proximal part of the esophageal foreign body. The oral side balloon was then gradually inflated. Dilatation of the proximal part of the esophagus made it possible to release the impacted sharp foreign body from the esophageal wail. A transparent cap was used for foreign bodies in the upper esophagus when there were difficulties with the oral side baboon, Results: The types of foreign body removed were fish bones (n = 9), press-through packages (n = 8), chicken bones (n = 3), dentures (n = 1), and a wrist watch (n = I). Endoscopic removal was successful in all but one of the cases, in which a fish bone had to be extracted surgically. Conclusions: The proximal dilatation method using an oral side balloon or transparent cap is safe and effective in removing sharp foreign bodies from the esophagus, avoiding surgery and possible perforation.
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2. Clinical Science > Department of Internal Medicine > 1. Journal Articles
5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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