Foreign bodies of the esophagus. PATIENT TACTICS

Abstract

Aim. The choice of approach in the management of the patients with foreign bodies in the esophagus accordingto the state of passage of the esophagus.Material and methods. 49 patients with foreign bodies in the esophagus were studied during 2014-2018 yy. Allpatients were subjected to general clinical examinations, ENT examination and x-Ray. Patients with cicatricial narrowingin a case history had x-ray examination with liquid barium. Removal of foreign bodies was carried immediately afterhospitalization as an emergency after short-term preparation under general endotracheal anesthesia with esophagoscopyusing a Bruenings broncho-esophagoscope.Results. In 35 out of 44 cases, the attempts to extract foreign body with an esophagoscope, in patients withoutcicatricial narrowing were successful. In 6 cases during the attempt to extract foreign body it fell down. In two cases,meat piece left esophagus before the start of anesthesia.Conclusion. Foreign body in the esophagus requires immediate hospitalization to a specialized hospital. Latehospitalization leads to the depletion of patients, complicates the extraction of a foreign body and worsens the prognosis.