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Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature
INTRODUCTION: Esophageal foreign bodies are an important and serious cause of morbidity and mortality in both children and adults. Due to the possibility of serious complications, i.e. perforation, necrosis, mediastinitis, and fistulation, rapid and accurate diagnostic measures with subsequent thera...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4840399/ https://www.ncbi.nlm.nih.gov/pubmed/27144004 http://dx.doi.org/10.1016/j.amsu.2016.04.001 |
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author | Heger, Patrick Weber, Tim F. Rehm, Johannes Pathil, Anita Decker, Frank Schemmer, Peter |
author_facet | Heger, Patrick Weber, Tim F. Rehm, Johannes Pathil, Anita Decker, Frank Schemmer, Peter |
author_sort | Heger, Patrick |
collection | PubMed |
description | INTRODUCTION: Esophageal foreign bodies are an important and serious cause of morbidity and mortality in both children and adults. Due to the possibility of serious complications, i.e. perforation, necrosis, mediastinitis, and fistulation, rapid and accurate diagnostic measures with subsequent therapy are necessary. CASE REPORT: We are reporting a case of a 55-year-old, mentally impaired patient that has swallowed a foreign body, which subsequently became lodged in his esophagus. Due to the fact that endoscopic removal was not possible and there was a high risk of complications such as esophageal perforation or mediastinitis in this case, we performed cervical esophagotomy and successfully extracted the foreign body. The patient showed an uneventful postoperative process and could be discharged on Day 11 after the operation. COMPREHENSIVE REVIEW: Furthermore, we performed a systematic review of the literature to identify all studies that described a surgical approach through esophagotomy in cases of foreign body ingestion and found 11 publications describing the cases of 29 patients. These studies reported an overall complication rate of 17.2% and a mortality rate of 0%. CONCLUSION: Our findings suggest that esophagotomy could be a viable approach for the extraction of foreign bodies especially in some cases when endoscopic removal was not successful and the risk of esophageal perforation is high. |
format | Online Article Text |
id | pubmed-4840399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-48403992016-05-03 Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature Heger, Patrick Weber, Tim F. Rehm, Johannes Pathil, Anita Decker, Frank Schemmer, Peter Ann Med Surg (Lond) Case Report INTRODUCTION: Esophageal foreign bodies are an important and serious cause of morbidity and mortality in both children and adults. Due to the possibility of serious complications, i.e. perforation, necrosis, mediastinitis, and fistulation, rapid and accurate diagnostic measures with subsequent therapy are necessary. CASE REPORT: We are reporting a case of a 55-year-old, mentally impaired patient that has swallowed a foreign body, which subsequently became lodged in his esophagus. Due to the fact that endoscopic removal was not possible and there was a high risk of complications such as esophageal perforation or mediastinitis in this case, we performed cervical esophagotomy and successfully extracted the foreign body. The patient showed an uneventful postoperative process and could be discharged on Day 11 after the operation. COMPREHENSIVE REVIEW: Furthermore, we performed a systematic review of the literature to identify all studies that described a surgical approach through esophagotomy in cases of foreign body ingestion and found 11 publications describing the cases of 29 patients. These studies reported an overall complication rate of 17.2% and a mortality rate of 0%. CONCLUSION: Our findings suggest that esophagotomy could be a viable approach for the extraction of foreign bodies especially in some cases when endoscopic removal was not successful and the risk of esophageal perforation is high. Elsevier 2016-04-07 /pmc/articles/PMC4840399/ /pubmed/27144004 http://dx.doi.org/10.1016/j.amsu.2016.04.001 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Heger, Patrick Weber, Tim F. Rehm, Johannes Pathil, Anita Decker, Frank Schemmer, Peter Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title | Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title_full | Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title_fullStr | Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title_full_unstemmed | Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title_short | Cervical esophagotomy for foreign body extraction – Case report and comprehensive review of the literature |
title_sort | cervical esophagotomy for foreign body extraction – case report and comprehensive review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4840399/ https://www.ncbi.nlm.nih.gov/pubmed/27144004 http://dx.doi.org/10.1016/j.amsu.2016.04.001 |
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