JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (6): 45-48.doi: 10.6040/j.issn.1673-3770.0.2015.186

Previous Articles     Next Articles

Diagnosis of foreign bodies in the cervical esophagus by CT scan and treatment options

LI Yongtuan1, XIU Haibo2, WANG Ningning1, XIN Lu1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Qingdao Municipal Hospital, Medical College of Qingdao University, Qingdao 266011, Shandong, China;
    2. Department of Otolaryngology, Jimo Hospital of Traditional Chinese Medicine, Jimo 266200, Shandong, China
  • Received:2015-05-12 Online:2015-12-16 Published:2015-12-16

PDF (PC)

1367

Abstract: Objective To investigate the role of CT scan as an optimal approach in the diagnosis of foreign bodies in the cervical esophagus, and to explore the different treatment options based on the scan results. Methods Clinical data of 179 patients admitted to our department due to upper esophageal foreign body during May 2011 and Oct. 2014 were retrospectively analyzed. All cases had symptoms of dysphagia, swallowing obstruction and pain. The diagnosis of upper esophageal foreign body was confirmed via X ray or HRCT examination. The foreign bodies were removed with different methods based on results of CT scan. Results The foreign bodies were removed with rigid esophagoscope under general anesthesia in 68 cases, with electronic gastroscope under topical anesthesia in 60 cases, with lateral neck incision in 10 cases, with 16# Foley catheter under no anesthesia in 12 baby patients. Another 29 patients with fishbone received no treatment because the foreign bodies and symptoms disappeared within 12 hours. Conclusion Eating too fast or being absent-minded during dinner are the major causes of esophageal foreign bodies. Correct evaluation of the nature, size, position of the foreign bodies, and damage they might do to patients, as well as timely management are key to treat cervical esophageal foreign bodies and avoid complications.

Key words: Electronic gastroscope, Foley catheter, Lateral neck incision, Body section radiography, Tomography, X-ray computed, Foreign bodies, Rigid esophagoscope, Esophagus

CLC Number: 

  • R768.3
[1] Chauvin A, Viala J, Marteau P. Management and endoscopic techniques for digestive foreign body and food bolus impaction[J]. Dig Liver Dis, 2013, 45(7):529-542.
[2] 祝江才, 董频, 万夷, 等. CT 薄层扫描在疑难食管异物诊断中的应用6例[J]. 山东大学耳鼻喉眼学报, 2008, 22(3):287-288. ZHU Jiangcai, DONG Pin, WAN Yi, et al. Application of CT in the diagnosis of difficult esophageal foreign bodies in 6 cases[J]. J Otolaryngol Ophthalmol Shandong Univ, 2008, 22(3):287-288.
[3] 甘莉, 赵海波, 罗焕江, 等. 低剂量CT 扫描在食道异物中的应用价值[J]. 重庆医科大学学报, 2009, 34(11):1597-1599. GAN Li, ZHAO Haibo, LUO Huanjiang, et al. Application value of low-dose CT scanning in esophageal foreign body[J]. J Chongqing Med Univ, 2009, 34(11):1597-1599.
[4] Liu Y C, Zhou S h, Ling L. Value of helical computed tomography in the early diagnosis esophageal foreign bodies in adults[J]. Am J Emerg Med, 2013, 31(9):1328-1332.
[5] Ma J, Kang D K, Bae J I, et al. Value of MDCT in diagnosis and management of esophageal sharp or pointed foreign bodies according to level of esophagus[J]. AJR Am J Roentgenol, 2013, 201(5):707-711.
[6] Park S, Choi D S, Shin H S. Fish bone foreign bodies in the pharynx and upper esophagus: evaluation with 64-slice MDCT[J]. Acta Radiol, 2014, 55(1):8-13.
[7] 徐亦生, 占鸣, 朱文良. CT在食管异物检查中的检出率及显像效果观察(附29例报告)[J].浙江中医药大学学报, 2013, 37(2):174-176. XU Yisheng, ZHAN Ming, ZHU Wenliang. Discuss clinical application significance and detection rate of CT in early diagnosis of esophageal foreign body[J]. J Zhejiang Chin Med Univ, 2013, 37(2):174-176.
[8] 章毅, 王敏, 古艳, 等. 301 例食管异物患者临床诊治分析[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(4):322-329. ZHANG Yi, WANG Min, GU Yan, et al. Clinical diagnosis and treatment for esophageal foreign body in 301 cases[J]. Chin J Otorhinolaryngol Skull Base Surg, 2013, 19(4):322-329.
[9] Baba S, Takizawa K, Yamada C, et al. A submucosal esophageal fish bone foreign body surgically removed using intraoperative ultrasonography[J]. Am J Otolaryngol, 2014, 35(2):268-270.
[1] WANG Tan, WANG Jing, LI Yanzi, BU Lingnan, YANG Sujuan. Hypopharyngeal fibrovascular polyp:a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 121-125.
[2] LI Dou, SUI Xinke, YANG Xiaoman, GUO Hongyuan, WANG Min, ZHONG Changqing, LI Lianyong. Changes in endoscopic and pathological indices of the lower oesophageal mucosa in patients with simple pharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 85-90.
[3] ZHANG Jin, ZHANG Hui, DING Detao, ZHANG Yonghong, LI Xiaoying, SUO Anqi, LI Xiaoyu, WU Yungang. Diagnosis and management of fishbone foreign body in the deep neck: three case reports and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 56-58.
[4] WANG Li, YUAN Huwei, PAN Hongguang. Nasal teeth in children: a report of four cases with literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 16-20.
[5] To investigate the relationship between nasal foreign bodies and allergic rhinitis in children. MethodsThis single-center study retrospectively evaluated the clinical data, treatment methods used, and complications reported for 161 pediatric patients with nasal foreign bodies who were treated between January 2017 and June 2018. ResultsA total of 161 patients were reviewed(91 boys and 70 girls). Among them, the age of high hair was 3-5 years old, and accounted for 81.4% of all the patients. Of these, 137(85.1%)children had nasal itching, rubbing nose, nose-picking, sneezing, epistaxis, nasal congestion, nasal hemorrhage, and other symptoms; 112 cases(69.6%)tested positive for sIgE(specific Immunoglobulin E)and were diagnosed with allergic rhinitis. The prevalence of allergic rhinitis in children with nasal foreign bodies was 69.6%, significantly higher than that reported for the general population(7.83%-20.42%; P<0.001). ConclusionIn children, nasal foreign bodies are closely associated with allergic rhinitis. Children with nasal foreign bodies should be particularly monitored for the development of allergic rhinitis. When allergic rhinitis is suspected, it should be promptly diagnosed and optimal treatment should be administered.. Relationship between nasal foreign body and allergic rhinitis in children: a preliminary studyLIN Xing, SHEN Ling, LIN Zongtong, YANG Zhongjie Department of Otorhinolaryngology, Fuzhou Children's Hospital of Fujian Province/Fuzhou Children's Hospital of Fujian Medical University, Fuzhou 350005, Fujian, ChinaAbstract: Objective〓 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 101-104.
[6] ZHAO Haitao, SHI Lei, WANG Junxia, WANG Yafang. Airway management and anesthesia method of children with tracheobronchial foreign bodies [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 96-98.
[7] WEN Xin, SU Jinzhu, WANG Juan. Inflammatory granuloma after bronchial foreign body surgery in 2 cases. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 113-114.
[8] LI Wenming, WEI Dongmin, SUN Ruijie, QIAN Ye, LIU Dayu, XIE Guang, LEI Dapeng, PAN Xinliang. Surgical treatment of hypopharyngeal cancer with cervical esophageal invasion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 15-19.
[9] GAO Ying, WANG Zhenghui, CHANG Huimin, WU Caiqin, KOU Xiaohui, XU Min. Foreign bodies in children's bronchus: an analysis of 2000 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 39-42.
[10] LI Zhaosheng, XU Zhenyue, SHEN Weilin, HUANG Qianjin. A patient of esophageal foreign body accompanied by pneumothorax was cured by thoracic closed drainage and removal of foreign bodies by esophagoscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 84-86.
[11] LI Mao-cai, XIANG Xuan, LI Wen-ming, JIN Tong, QIAN Ye, WEI Dong-min, SUN Rui-jie, LIU Da-yu, LEI Da-peng, PAN Xin-liang. Analysis of 20 years experience of treatment in esophageal foreign body [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 72-74.
[12] LIU Chao-bing, WANG Chun-hua, ZHANG Xiao-lan, LIU Ran-ran. A clinical analysis of 312 cases of children bronchial foreign bodies [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 65-67.
[13] CHEN Jing1， WEI Xu-dong2. Diagnosis and treatment of tracheobronchial foreign bodies in 180 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 53-55.
[14] SHANGGUAN Han-jing, GAO Xing-qiang, CHEN Wu-na, LUO Xian-yang. Analysis of foreign body induced retropharyngeal abscess [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 65-66.
[15] CHEN Yu-kai, ZHANG Shu-xia, YI Xin, ZHAO Xiao-yun. Foley tube method in taking children esophageal foreign bodies: 30 cases report and literature review [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 92-93.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd