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DOI: 10.1055/s-0042-1742702
A Novel Method of Esophageal Impacted Sharp Foreign Body Retrieval
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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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.
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Conflict of Interest
All authors report support for study materials, medical writing.
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References
- 1 Birk M, Bauerfeind P, Deprez PH. et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48: 489-496
- 2 Ikenberry SO, Jue TL, Anderson MA. et al; ASGE Standards of Practice Committee. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011; 73 (06) 1085-1091
- 3 Bhat YM, Banerjee S, Barth BA. et al; ASGE Technology Committee. Tissue adhesives: cyanoacrylate glue and fibrin sealant. Gastrointest Endosc 2013; 78 (02) 209-215
Address for correspondence
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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References
- 1 Birk M, Bauerfeind P, Deprez PH. et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48: 489-496
- 2 Ikenberry SO, Jue TL, Anderson MA. et al; ASGE Standards of Practice Committee. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011; 73 (06) 1085-1091
- 3 Bhat YM, Banerjee S, Barth BA. et al; ASGE Technology Committee. Tissue adhesives: cyanoacrylate glue and fibrin sealant. Gastrointest Endosc 2013; 78 (02) 209-215
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![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)