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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...

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Autores principales: Heger, Patrick, Weber, Tim F., Rehm, Johannes, Pathil, Anita, Decker, Frank, Schemmer, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
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.
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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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