885 results match your criteria Esophageal Foreign Body Imaging

Unusual radiological finding in foreign bodies ingestion: three esophageal coins.

Colomb Med (Cali) 2021 Oct-Dec;52(4):e5005016. Epub 2021 Dec 30.

Hospital Universitario de Navarra. Servicio de Pediatría. Pamplona, España.

Case Description: A 5-year-old girl presented to the emergency department with a history of foreign body ingestion. A cervico-thoracoabdominal radiograph demonstrate a foreign body in the esophagus, which seemed to show a double rim sign suspecting a button battery. After an emetic episode and expelling a coin, the child became asymptomatic. Read More

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Chronic esophageal dissection: Delayed diagnosis in a 15-year-old male.

J Clin Imaging Sci 2022 16;12:16. Epub 2022 Apr 16.

Department of Radiology, Watford General Hospital, Watford, Hertfordshire, United Kingdom.

Esophageal dissection is a rare condition, characterized by disruption of the submucosa from the muscular layer of the esophageal wall. It is commonly iatrogenic in etiology and patients typically present with acute onset dysphagia, odynophagia, and retrosternal pain. The condition can be diagnosed endoscopically; however, contrast swallow studies either with CT or fluoroscopy carry less risk and are the imaging investigations of choice for this condition. Read More

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Magnetic resonance imaging of children following esophageal button battery removal: What are we looking for?

Clin Imaging 2022 Jun 24;86:71-74. Epub 2022 Mar 24.

Department of Radiology, University of Washington, Seattle, WA, United States of America; Division of Radiology, Seattle Children's Hospital, Seattle, WA, United States of America. Electronic address:

Despite society recommendations that cross-sectional imaging be obtained following removal of ingested button batteries, there is no published consensus on how it effectively guides clinical management. This single institution survey demonstrates a lack of uniformity by clinicians regarding which imaging findings impact management decisions, highlighting the need for further guidelines. Read More

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Surgical repair of massive hemorrhage secondary to button battery ingestion causing aortoesophageal fistula.

J Card Surg 2022 Jul 3;37(7):2112-2114. Epub 2022 Mar 3.

Division of Cardiac Surgery, University of Alberta, Edmonton, Alberta, Canada.

Background: In pediatrics, foreign body ingestion poses unique challenges. Each case is unique given variability in timing, type, and size of object, compounded by underlying comorbidities and age. In the mid-1990s, mortality and morbidity associated with button battery (BB) ingestion (BBI) emerged corresponding to modification in battery fabrication towards higher voltage, large-diameter lithium cells. Read More

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Bleeding of the Superior Vena Cava Due to an Iatrogenic Injury to It during the Ultrasound-Guided Central Venous Cannulation.

Medicina (Kaunas) 2022 Feb 10;58(2). Epub 2022 Feb 10.

Department of Anesthesiology and Pain Medicine, Cheju Halla General Hospital, Jeju 63127, Korea.

Central venous cannulation (CVC) is a procedure that is frequently performed to facilitate resuscitation, nutritional support and long-term vascular access. It may often cause mechanical complications during placement of a cannula in association with the anatomical relationship with central veins. A 68-year-old man visited our medical institution with a chief complaint of foreign-body-induced esophageal perforation. Read More

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February 2022

A novel approach to button battery removal in a two-and-half year-old patient's esophagus after ingestion: a case report.

BMC Pediatr 2022 02 17;22(1):96. Epub 2022 Feb 17.

Department of Pediatric Gastroenterology of Children's Hospital, China Medical University, Taichung, Taiwan.

Background: Accidental swallowing of a foreign body occurs more frequently in children than in adults. Among these cases, button battery impaction in the esophagus may cause severe complications. While prevention is always ideal, if button battery impaction is suspected, immediate diagnosis and retrieval are important. Read More

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February 2022

Outcomes of esophageal and gastric bone foreign bodies in dogs.

J Vet Intern Med 2022 Mar 14;36(2):500-507. Epub 2022 Feb 14.

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.

Background: Bone foreign bodies are commonly encountered in small animal practice. Esophageal bone foreign bodies (E-bFBs) warrant removal, whereas gastric bone foreign bodies might not.

Objectives: Describe management and outcomes for dogs with esophageal or gastric bone foreign bodies. Read More

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Bilateral Intracardiac Microbubbles in a Patient With Giant Hiatus Hernia: A Case Report.

Cureus 2022 Jan 4;14(1):e20933. Epub 2022 Jan 4.

Community Medicine Management, Shimane University Faculty of Medicine, Izumo, JPN.

Intracardiac microbubbles may occur inadvertently during a cardiac procedure, which are typically reported in patients with central venous catheters or cardiac prosthetic valves. Here, we report a case wherein a microbubble filling in the bilateral atriums and ventricles was revealed during echocardiography despite the patient not having the aforementioned risks. An 87-year-old man with hypertension was admitted with a diagnosis of heart failure caused by a giant hiatal hernia. Read More

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January 2022

Esophageal pharmacobezoar: a very unusual complication of enteral nutrition use.

Rev Esp Enferm Dig 2022 06;114(6):362-363

UGC Aparato Digestivo, Hospital Universitario Torrecárdenas.

Enteral nutrition in intensive care has been a great advance in medicine, due to its benefit, cost-effectiveness and few complications. Bronchoaspiration, diarrhea, regurgitation or mechanical problems are the main adverse effects. Esophageal obstruction by bezoar is a very infrequent complication, and there are only a few cases described in the literature. Read More

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Management of esophageal button battery ingestions: resource utilization and outcomes.

Pediatr Surg Int 2022 Mar 28;38(3):473-478. Epub 2022 Jan 28.

Division of Pediatric Surgery, Department of Surgery, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, 30322, USA.

Purpose: Institutions are adopting the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) guidelines for pediatric esophageal button battery ingestion (EBBI). Our objective was to evaluate the guidelines' impact on in-hospital resource utilization and short-term clinical outcomes in hemodynamically stable patients after endoscopic battery removal.

Methods: A single-center retrospective review of all EBBI admissions from 2010 to 2020. Read More

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The Role of Tunnel Endoscopy in a Hidden Esophageal Foreign Body.

Am J Gastroenterol 2022 Apr;117(4):534

Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Chinese Medicine), Nanjing, China.

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Esophageal Perforation Successfully Treated With EVT.

ACG Case Rep J 2022 Jan 12;9(1):e00711. Epub 2022 Jan 12.

Baylor College of Medicine, Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, Houston, Texas.

Esophageal perforation is rare and carries high morbidity and mortality. A high degree of suspicion is needed for timely diagnosis and treatment. A 54-year-old man presented with fever and confusion. Read More

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January 2022

A possible indicator for removal of a large foreign body from the esophagus via a cervical approach: a case report with literature review.

Clin J Gastroenterol 2022 Apr 9;15(2):333-338. Epub 2022 Jan 9.

Department of Gastroenterology, Graduate School of Medicine, Gifu University School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Japan.

Foreign body intake in adults is more common among people with mental illness. Edentulous adults are at increased risk for foreign body ingestion, including of dentures. We experienced a patient who aspirated a large denture that we removed via a cervical surgical approach. Read More

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Evaluation of a Symptom-Based Algorithm for Managing Battery Ingestions in Children.

Eur J Pediatr Surg 2022 Feb 16;32(1):2-8. Epub 2021 Dec 16.

Department of Pediatric Surgery, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States.

Objectives:  While complications from battery ingestion can be severe, especially with the emergence of stronger battery elements, not all ingestions require prompt removal. We aim to evaluate a symptom-focused algorithm for battery ingestion that emphasizes observation over intervention to investigate its safety.

Materials And Methods:  Patients were identified through a query of foreign-body ingestion radiographs obtained between 2017 and 2020. Read More

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February 2022

[Application of esophageal CT to establish the evaluation model of foreign body position in rigid esophagoscopic surgery].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Dec;35(12):1097-1100

Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Nasal Diseases,Beijing Institute of Otolaryngology,Beijing,100730,China.

Establish a correlation model with the true position of the foreign body in the esophageal foreign body surgery using the relevant diameter of the esophageal foreign body computed tomography(CT). Thirty-three patients who were diagnosed with esophageal foreign bodies by esophageal CT in the emergency department of the Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, were selected to measure the CT-related diameters of the esophageal tube(airway length, hyoid anterior edge-mandibular distance, incisor extension line-Posterior nasal ridge, distance from foreign body to hard jaw, distance from foreign body to incisor, front and back nasal crest line-spine line included angle, front and back nasal crest line and airway length line included angle, the lowest point of mandible-highest point of hyoid bone-and Spine angle), record the height and weight of the patient and calculate the body mass index(BMI). During the operation, the patient's head is fully tilted back, and the rigid esophagus is inserted through the mouth, and the front end of the esophagus is recorded when it touches a foreign body. Read More

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December 2021

Esophageal discoid foreign body detection and classification using artificial intelligence.

Pediatr Radiol 2022 Mar 1;52(3):477-482. Epub 2021 Dec 1.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1405 Clifton Rd. NE, Atlanta, GA, 30322, USA.

Background: Early and accurate radiographic diagnosis is required for the management of children with radio-opaque esophageal foreign bodies. Button batteries are some of the most dangerous esophageal foreign bodies and coins are among the most common. We hypothesized that artificial intelligence could be used to triage radiographs with esophageal button batteries and coins. Read More

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Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures.

Sci Rep 2021 11 19;11(1):22575. Epub 2021 Nov 19.

Department of Digestive Endoscopy Center, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355 Luding Road, Shanghai, 200062, China.

To share our institutional experience of placing individually designed fully covered self-expandable metal stents (FCSEMSs) for the treatment of refractory benign esophageal strictures (RBESs) in pediatric patients. A 10-year retrospective study between May 2009 and July 2020 that includes 14 children with RBESs who were treated with individually designed FCSEMSs. Patients were followed-up regularly after stent placement to observe the improvement of vomiting and dysphagia, changes in stenosis diameter and complications. Read More

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November 2021

A double-scope technique enabled a patient with an esophageal plastic fork foreign body to avoid surgery: a case report and review of the literature.

Clin J Gastroenterol 2022 Feb 5;15(1):66-70. Epub 2021 Nov 5.

Department of Frontier Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8677, Japan.

Foreign body ingestion is a common problem, and endoscopic removal is often performed with ancillary equipment. However, long, sharp foreign bodies are much more difficult to remove endoscopically than other objects and require emergent surgery. A 68-year-old man with a history of distal gastrectomy accidentally swallowed a plastic fork. Read More

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February 2022

Evolving Clinical Care in Esophageal Button Batteries: Impact of Expert-Opinion Guideline Adoption and Continued Gaps in Care.

J Pediatr Gastroenterol Nutr 2022 02;74(2):236-243

Pediatric Radiology, Department of Radiology and Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.

Background/objectives: Esophageal button battery impactions (BBI) in children pose a significant danger to children. Although there are expert-opinion guidelines to help manage this population, few studies detail the impact of guidelines on the clinical care of these patients. With this study, we aimed to describe the care of these patients before and following adoption of guidelines at a single center. Read More

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February 2022

Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications.

Na Liu

Pak J Med Sci 2021 ;37(6):1636-1640

Na Liu, Attending Physician, Endoscopy Room, Heping Hospital Affiliated to Changzhi Medical College of Shanxi Province, Changzhi, 046000, Shanxi Province, China.

Objective: This study used phased array imaging algorithm to explore the epidemiological characteristics of endoscopic treatment of upper gastrointestinal foreign bodies to provide a basis for nursing intervention.

Methods: We collected data on the age, sex, cause, type of foreign body, success rate of removal, retention location, time and complications of patients with foreign bodies in the upper gastrointestinal tract who were treated in the emergency department of the Digestive Endoscopy Center in our hospital. The study was conducted from January 2018 to December 2020 and we also performed statistical analysis. Read More

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January 2021

An impacted coin in the esophagus: a cause of dysphagia in a child.

Pan Afr Med J 2021;39:269. Epub 2021 Aug 25.

Department of Emergency Medicine, Muhimbili National Hospital, Dar Es Salaam, Tanzania.

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February 2022

CT imaging of esophageal foreign bodies in children: a pictorial essay.

Jpn J Radiol 2022 Mar 18;40(3):262-270. Epub 2021 Oct 18.

Singleton Department of Pediatric Radiology, Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA.

Foreign body (FB) ingestion is common in children, particularly from 6 months to 3 years of age. As young children may be unable to provide a clinical history and the ingestion is often unwitnessed, imaging plays an important role in diagnosis, predicting outcomes and detecting complications that require surgical intervention. Since 2015, our institution's diagnostic algorithm for suspected airway foreign bodies has included a noncontrast airway FB CT (FB-CT) with the z-axis coverage spanning from the larynx to the proximal segmental bronchi of the lower lung zones. Read More

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Foreign body ingestion and associated factors in pediatric patients at a tertiary care center.

Rev Gastroenterol Mex (Engl Ed) 2022 Jan-Mar;87(1):20-28. Epub 2021 Oct 9.

Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Mexico City, Mexico.

Introduction And Aims: Foreign body (FB) ingestion is a common problem in children under 5 years of age and is one of the main indications for endoscopy. The aim of the present study was to describe the clinical, radiographic, and endoscopic characteristics of patients with FB ingestion, as well as the factors associated with the anatomic location and the type of object ingested.

Materials And Methods: An analytic cross-sectional study was conducted on all patients with FB ingestion seen at the gastroenterology service from January 2013 to December 2018. Read More

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February 2022

Surgical treatment of delayed cervical infection and incomplete quadriplegia with fish-bone ingestion: A case report.

World J Clin Cases 2021 Sep;9(25):7535-7541

Department of Orthopaedic Surgery, the Affiliated Suzhou Hospital of Nanjing Medical University; Suzhou Municipal Hospital, Suzhou 215000, Jiangsu Province, China.

Background: The most commonly ingested foreign body in Asians is fish bone. The vast majority of patients have obvious symptoms and can be timely diagnosed and treated. Cases of pyogenic cervical spondylitis and diskitis with retropharyngeal and epidural abscess resulting in incomplete quadriplegia due to foreign body ingestion have been rarely reported. Read More

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September 2021

Endoscopic-guided Esophageal Foreign Body Removal in a Donkey.

J Equine Vet Sci 2021 10 25;105:103696. Epub 2021 Jun 25.

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.. Electronic address:

Esophageal obstruction is a common disorder in equids usually caused by intraluminal impaction with roughage and/or other feed material. Esophageal obstructions can also be caused by foreign bodies, but they are rarely reported and information regarding diagnosis and management is lacking. This report describes an esophageal obstruction in a donkey caused by a metallic foreign body removed using endoscopic guidance. Read More

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October 2021

[Spontaneous pneumomediastinum associated with severe and persistent episode of hiccups.]

Bol Med Hosp Infant Mex 2021 ;78(5):485-488

Otorrinolaringología Pediátrica. Star Medica Infantil Privado, Ciudad de México, México.

Background: Spontaneous pneumomediastinum is the presence of free air in the mediastinum that does not occur from direct thoracic or esophageal trauma. It is a very rare condition usually related to patients with asthma, respiratory infections, or foreign body aspiration. Only a few cases are reported to be associated with severe reflux events. Read More

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October 2021

Comparison of Cap-Assisted vs Conventional Endoscopic Technique for Management of Food Bolus Impaction in the Esophagus: Results of a Multicenter Randomized Controlled Trial.

Am J Gastroenterol 2021 11;116(11):2235-2240

Department of Gastroenterology and Hepatology, Royal Adelaide Hospital, Adelaide, Australia.

Introduction: "Push" or "pull" techniques with the use of snares, forceps, baskets, and grasping devices are conventionally used to manage esophageal food bolus impaction (FBI). A novel cap-assisted technique has recently been advocated to reduce time taken for food bolus (FB) removal. This study aimed to compare the effectiveness of the cap-assisted technique against conventional methods of esophageal FB removal in a randomized controlled trial. Read More

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November 2021

[Gastric bezoars caused by enteral nutrient gel via gastric fistula in a patient with esophageal cancer].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(9):868-873

Department of Gastroenterology, Japanese Red Cross Nasu Hospital.

A 62-year-old man presented to our hospital with difficulty in swallowing. Physical examination and subsequent diagnostic tests identified hypopharyngeal and esophageal carcinoma with tracheal invasion. The patient underwent gastric fistula placement, radiotherapy, and chemotherapy. Read More

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September 2021

Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report.

World J Clin Cases 2021 Aug;9(23):6781-6788

Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.

Background: Foreign bodies stuck in the throat and esophagus can be discharged through the digestive tract. Esophageal-lodged foreign bodies can cause secondary injury or detrimental response, with hepatic abscess being one such, albeit rare, outcome. Review and discussion of the few case reports on such instances will help to improve the overall understanding of such conditions and aid in differential diagnosis to improve patient outcome. Read More

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Something's "Fishy" With That Sore Throat...

Adv Emerg Nurs J 2021 Jul-Sep 01;43(3):198-205

Chestnut Hill Hospital, Philadelphia, Pennsylvania.

A 9-year old male presented to the emergency department for the evaluation of a sore throat. Initial history of present illness stated in the triage note was that "the child complained of a sore throat," suggesting possible pharyngitis. There was no evidence of stridor, sialorrhea, hypoxia, or aphonia. Read More

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September 2021