Management of vulnating esophageal foreign bodies

This was a cross-sectional analytical study with retrospective data collection over 10 years (2012 - 2021). The frequency of vulnating CEOs was 9.1 cases/year (4.7%). The mean age of patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of onset were dominated by accidental ingestion of vulgarizing CEOs (98.9%). The average consultation time was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography revealed double-contour radiopaque images in 71.4%. Rigid-tube esophagoscopy was performed in 97.8% of cases. The average time to extraction of vulenerating CEOs was 8 hours. Vulnerable CEOs were non-organic in 84.6% of cases. Button cells accounted for 64.8%. Their location was cervical in 61.5% of cases intraoperatively. Lesion assessment revealed ulcero-necrotic lesions in 42.9% (p<0.05). Iatrogenic trauma was noted in 3.3% of cases. Nasogastric tube placement was indicated in 58.2%. Complications were dominated by ulcero-necrotic lesions (42.9%). The average hospital stay was 3 days.

Autorentext

Dr. DIALLO Ibrahima ist HNO- und Hals- und Gesichtschirurg. Derzeit ist er Oberarztassistent an der Fakultät für Gesundheitswissenschaften und -technik an der Universität Gamal Abdel Nasser in Conakry. Er studierte Medizin an der Universität Gamal Abdel Nasser in Conakry und schloss sein Studium 2017 mit dem Doktortitel in Medizin ab.