Alternative salvage technique for removing large sharp foreign body near upper esophageal sphincter

Jong Jin Hyun, Hoon Jai Chun, Bora Keum, Yeon Seok Seo, Yong Sik Kim, Yoon Tae Jeen, Hong Sik Lee, Soon Ho Um, Chang Duck Kim, Ho Sang Ryu

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Removing sharp foreign bodies located in the esophagus can be dangerous and challenging. Proper apparatus and appropriate technique should be employed to avoid life-threatening complications such as perforation and mediastinitis. A 59-year-old man came to the emergency department with foreign body sensation in the upper esophagus which proved to be a large sharp fish bone impacted near upper esophageal sphincter. With the ordinary upper endoscope, the foreign body could not be retrieved even with the assistance of a cap. Foreign body removal was attempted again using a colonoscope with cap fitted at the end. Larger caliber of the scope rendered more stable support within the lumen enabling better maneuver of the scope tip to secure wider working space, and application of the cap permitted better visual field. Herein, we report the first case of successful removal of a large sharp fish bone impacted near the upper esophageal sphincter using cap assisted colonoscope.

    Original languageEnglish
    Pages (from-to)e48-e52
    JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
    Volume22
    Issue number1
    DOIs
    Publication statusPublished - 2012 Feb

    Keywords

    • cap assistance
    • endoscopic removal
    • sharp foreign body
    • upper esophageal sphincter

    ASJC Scopus subject areas

    • Surgery

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