Korean Journal of Gastrointestinal Endoscopy 2000;21(1): 503-508.
밀착된 예리한 식도 이물의 Ballon 이용 적출술 ( Endoscopic Removal of an Impacted Sharp Foreign Body in the Esophagus )
진윤태(Yoon Tae Jeen),전훈재(Hoon Jai Chun),이성준(Sung Joon Lee),이정환(Jung Whan Lee),허병원(Byung Won Hur),이홍식(Hong Sik Lee),송치욱(Chi Wook Song),이상우(Sang Woo Lee),최재현(Jae Hyun Choi),김창덕(Chang Duk Kim),류호상(Ho Sang Ryu),현진해(Jin Hai Hyun)
Abstract
Background/Aims : Sharp impacted esophageal foreign bodies can be very difficult to manage. When attempting to remove such objects inappropriately, life threatening complications, such as perforation can occur. Terefore, surgical intervention generally affords a safer approach. The aim of this study was to evaluate the safety and efficacy of endoscopic remval of sharp impacted esophageal foreign bodies using a dilatation method with an oral side balloon. Method : A total of 17 patients (7 Male, 10 Female)with sharp impacted esophageal foreign bodies underwent endoscopic Extraction. The following technique was successfully performed; an oral side balloon (Top Co., Japan) for esophageal variceal sclerotherapy was attached on the distal part of the endoscope. Under local anesthesia, the endoscope was inserted near the proximal part of the esophageal foreign body. Then, the oral side balloon was gradually dilated. Dilataion of the proximal part of the esophagus made it possible to release the sharp impacted foreign body from the esophageal wall. Results : The types of foreign bodies were fish bones (6 cases), press-through packages (6 ases), chichen bones (3 cases), dentures (1 case), and a watch (1case). Endoscopic removal was successful in all 17 cases without complications such as perforation. Conclusions : This method of using an oral side balloon is safe and effective in removing sharp impacted esophageal foreign bodies, preventing, surgery and possible perforation. (Korean J Gastrointest Endosc 2000; 21:503-508)
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