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Use of a dissected intravenous giving set to assist large metal oesophageal foreign body removal in rigid oesophagoscopy

Published online by Cambridge University Press:  16 September 2021

M Robinson*
Affiliation:
ENT Department, Brighton and Sussex University Hospital Trust, Brighton, UK
R Pankhania
Affiliation:
ENT Department, Brighton and Sussex University Hospital Trust, Brighton, UK
A Pelser
Affiliation:
ENT Department, Brighton and Sussex University Hospital Trust, Brighton, UK
P Bowles
Affiliation:
ENT Department, Brighton and Sussex University Hospital Trust, Brighton, UK
*
Author for correspondence: Mr Michael Robinson, ENT Department, Brighton and Sussex University Hospital Trust, Brighton, UK E-mail: Michael.robinson17@nhs.net Fax: +44 (0)1273 696955

Abstract

Background

Oesophageal foreign body removal may be challenging. If a foreign body is sufficiently high risk and cannot be retrieved via oesophagoscopy, laparotomy may be required as the foreign body migrates distally.

Objective

This paper presents the use of the plastic tubing from an intravenous giving set, combined with rigid oesophagoscopy grasping forceps, in order to improve purchase and obtain sufficient traction on a large, smooth, metallic distal oesophageal foreign body (knife).

Results and conclusion

This method offers an option for removal of oesophageal foreign bodies that may be rendered challenging with traditional metal grasping forceps given the lack of purchase and traction afforded by a ‘metal on metal’ grip, potentially avoiding the need for open surgery.

Type
Short Communications
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr M Robinson takes responsibility for the integrity of the content of the paper

References

Aiolfi, A, Ferrari, D, Riva, CG, Toti, F, Bonitta, G, Bonavina, L. Esophageal foreign bodies in adults: systematic review of the literature. Scand J Gastroenterol 2018;53:1171–8CrossRefGoogle ScholarPubMed
Endoscopes and instruments for ENT- Esophagoscopy – Bronchoscopy. 9th Edition. In: https://www.karlstorz.com/gb/en/online-catalog.htm [12 June 2020]Google Scholar