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Difficult oesophageal foreign body removal: a novel surgical approach to a complex situation

Published online by Cambridge University Press:  15 January 2024

Sabina Dranova Open the ORCID record for Sabina Dranova [Opens in a new window] ,
Zohaib Siddiqui ,
Muhammad Tobbal  and
Lisa Pitkin
Sabina Dranova*
Affiliation:
ENT Department, Frimley Park Hospital, Frimley, UK
Zohaib Siddiqui
Affiliation:
ENT Department, Frimley Park Hospital, Frimley, UK
Muhammad Tobbal
Affiliation:
General Surgery, Frimley Park Hospital, Frimley, UK
Lisa Pitkin
Affiliation:
ENT Department, Frimley Park Hospital, Frimley, UK
*
Corresponding author: Sabina Dranova; Email: sabina.dranova1@nhs.net
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Abstract

Background

Ingested foreign bodies pose a unique challenge in medical practice, especially when lodged in the oesophagus. While endoscopic retrieval is the standard treatment, certain cases require more innovative approaches.

Methods

This paper reports the case of a patient who intentionally ingested a butter knife that lodged in the thoracic oesophagus. After multiple endoscopic attempts, a lateral neck oesophagotomy, aided using a Hopkins rod camera and an improvised trochar as a protective port, was performed.

Results

The foreign body was successfully extracted without causing oesophageal perforation. The patient was made nil by mouth, with nasogastric feeding only until a swallow assessment after one week. The patient was discharged and recovered well.

Conclusion

This case illustrates a successful, innovative approach to removing a foreign body in a high-risk patient, highlighting the significance of adaptability in surgical practice. It emphasises the need for individualised approaches based on the patient's history, the nature and location of the foreign body, and associated risks.

Keywords

Foreign bodiesesophagusendoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 6 , June 2024 , pp. 703 - 706
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sabina Dranova takes responsibility for the integrity of the content of the paper

References

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