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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(01): 044-045
DOI: 10.1055/s-0042-1742702
Endoscopy Video

A Novel Method of Esophageal Impacted Sharp Foreign Body Retrieval

Yalaka Rami Reddy
1   Department of Medical Gastroenterology, Gleneagles Global Hospital, Hyderabad, Telangana, India
,
Kondal Reddy Mogili
1   Department of Medical Gastroenterology, Gleneagles Global Hospital, Hyderabad, Telangana, India
,
Natraj Goud Burra
1   Department of Medical Gastroenterology, Gleneagles Global Hospital, Hyderabad, Telangana, India
,
Santosh M. Narayankar
1   Department of Medical Gastroenterology, Gleneagles Global Hospital, Hyderabad, Telangana, India
,
Viswanath Reddy Donapati 
2   Department of Medical Gastroenterology, Yashoda Hospitals, Secunderabad, Telangana, India
,
Guduru R. Srinivas Rao
2   Department of Medical Gastroenterology, Yashoda Hospitals, Secunderabad, Telangana, India
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A 54-year-old woman presented with dysphagia after meat ingestion. On contrast enhanced computed tomography, bony fragment with sharp edges impacted in the esophageal wall was found just beyond the upper esophageal sphincter ([Fig. 1]). On retrieval attempt during endoscopy with foreign body forceps (Cook Medical, Wilson-Salem, North Carolina, United States), further injury to esophageal wall was noted due to impacted sharp margins. To avoid further damage, the foreign body was pushed distally with the help of foreign body forceps. This maneuver disimpacted its sharp edges from esophageal wall. Subsequently, we sprayed glue (n-butyl-2-cyanoacrylate) (Samarth Life Sciences, Mumbai, Maharashtra, India) around the foreign body. This measure solidified it and blunted its sharp edges facilitating safe retrieval of the foreign body using Roth net (US endoscopy, Mentor, Ohio, United States) ([Fig. 2], [Video 1]).

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Fig. 1 Reconstructed contrast-enhanced computed tomography neck and thorax in axial (A) and coronal (B) view showing foreign body with sharp margins impacted in the esophageal wall (arrow mark).
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Fig. 2 After endoscopic retrieval of foreign body, solidified glue covering the sharp margins of bony fragment (A). After separation, bony fragment with sharp edges and solidified glue (B).

Video 1 Impacted foreign body was pushed distally with the help of foreign body forceps and glue applied around the foreign body. After solidification of glue foreign body retrieved with Roth net.


Quality:

Our technique averted severe trauma to esophagus. Glue (n-butyl-2-cyanoacrylate) polymerizes after contact with weak bases. It is commonly used for variceal obliteration and closure of fistulae.[1] [2] [3] This technique is a safe alternative in specific cases of sharp foreign body retrieval.



Publication History

Article published online:
25 April 2022

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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