J Korean Radiol Soc.  1993 Oct;29(5):930-934.

Fluoroscopic extraction of esophageal foreign body

• Chon SB
• Song HY
• Han YM
• Choi YW
• Chung GH
• Sohn MH
• Kim CS
• Choi KC

Abstract

The purpose of this study is to report our 5-year experience with fluoroscopic removal of blunt esophageal foreign body or impacted food in 15 consecutive patients who were referred by endoscopists because they couldn's remove it endoscopically. The foreign body or impacted food was a pieced of meat, a bean, a badug stone or a beef bone. Thirteen patients had underlying disease(11 of corrosive stricture, 2 of postoperative stricture) but 2 patients did not. We removed the object using one of the following 4 techniques: Basket extraction technique, Foley catheter technique, single balloon technique (dilatation of stenosis for passing the food into the stomach and for the treatment of the stricture as well), double balloon technique(removal of the foreign body by trapping it with two valvuloplasty balloons). Removal was successful in all patients. Esophageal perforation occurred in one patient using the single balloon technique, who treated nonoperatively by means of fasting, antibiotics and parenteral alimentation. No procedure related death occurred in these series. In conclusion, fluoroscopic removal of blunt esophageal foreign bodies of impacted food with various techniques is promising alternative to esophagoscopic removal.

MeSH Terms

Anti-Bacterial Agents
Catheters
Constriction, Pathologic
Esophageal Perforation
Fasting
Foreign Bodies*
Humans
Meat
Red Meat
Stomach
Anti-Bacterial Agents