Oesophageal Foreign Body Retrieval by Open Approach : A Clinical Audit

Zahid M Khan; Sangeetha Kumari; Hirendra Birua

Volume : IX, Issue : V, May - 2020

Oesophageal Foreign Body Retrieval by Open Approach : A Clinical Audit

Zahid M Khan, Sangeetha Kumari, Hirendra Birua

Abstract :

AIM: A clinical audit and justification of open Cervical Oesophagotomy for the retrieval of large, sharp or impacted foreign bodies in upper oesophagus. Material & Method: A retrospective analysis of 6 complicated cases with upper oesophageal foreign bodies retrieved by means of open approach (Cervical Oesophagotomy) at a tertiary health care centre over a period of two years. Result: out of the 6 cases, two had oesophageal perforation and one had cervical abscess at presentation. After successful oesophagotomy and FB removal, one patient had oesophageal wound dehiscence leading to leak, which was managed conservatively. Conclusion: Although foreign body oesophagus is a common occurrence, large, sharp or impacted ones poses serious threat to the patient. Endoscopic removal is the first choice of treatment but open approach should be considered to deal with unsuccessful endoscopic attempts. In this era of minimal access and endoscopic procedures, the role of open approach should not be written off, as it turns out to be lifesaving.