Esophageal food impaction: a homemade suction tube attached to esophagogastroduodenoscopy for food bolus removal.
The most common esophageal foreign body in adults is impacted food bolus. Polypectomy snares, Dormia baskets, retrieval nets, rat-tooth forceps, alligator forceps or polyp graspers are usually used to remove it. Here, we report the case of a 78-year-old woman whose esophagogastroduodenoscopy (EGD) showed a firm goose liver impacted tightly in the lower esophagus; all of the above-mentioned retrieval instruments could not remove it. We used a homemade device by attaching a modified nasogastric tube to an EGD and successfully removed the goose liver by suction under endoscopic visualization. The method is very effective to remove firm and tightly impacted materials in a narrow lumen. When the usual retrieval instruments fail, a homemade suction tube attached to an EGD is an alternative.
Chen
Yu-Hsin
YH
Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
Liao
Wei-Chih
WC
Hou
Ming-Chih
MC
Lin
Han-Chieh
HC
Lee
Shou-Dong
SD
D000368:Aged; D016145:Endoscopy, Digestive System; D004947:Esophagus; D005260:Female; D005502:Food; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D013396:Suction / Q000295:instrumentation*