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Impaction of Foreign Body in Upper Digestive Tract: Unravelling the Anatomical Perspective

Vandana Jain, Assistant Professor, Department of Anatomy, MGM Medical College, Indore, Madhya Pradesh 452001, India. , Julka Ameet1 , Jain Vandana2 , Suri Sheenu Malik3 , Gupta Yamini4

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Indian Journal of Anatomy 7(2):p 199-204, Mar-Apr 2018. | DOI: http://dx.doi.org/10.21088/ija.2320.0022.7218.16

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Abstract

Context: A foreign body is any object in a region it is not meant to be, where it can cause harm by its mere presence and may require medical intervention if not spontaneously expelled from the body. Foreign bodies in the upper GI tract are usually swallowed, purposefully or accidentally which are more likely to be impacted at cricopharynx or esophagus. Present study identifies the pediatric population to be especially at a high risk of foreign body ingestion and our aim is to highlight the anatomical aspects contributing to this. Aims: To identify the commonest site of impaction of foreign body in upper digestive tract and then study the causative anatomical factors leading to this. Methods and Material: A Retrospective study conducted in the department of Otorhinolaryngology including previous records from 2014 onwards in tertiary care hospital of central India. A total of 160 patients of digestive tract foreign body were taken and categorized according to age, sex, site of impaction and type of foreign body. Results: The foremost site of foreign body impaction is at Upper esophageal sphincter followed by upper 1/3rd of esophagus and commonest age group is 1-4 years. Conclusions: Swallowing is not as coordinated and successful as in planned intake of bolus of food. This clearly affects the opening of UES leading to impaction of the foreign body at this commonest site followed by upper 1/3rd of esophagus and piriform fossa thereafter.

 

 

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DOI: http://dx.doi.org/10.21088/ija.2320.0022.7218.16

Keywords

Upper Esophageal Sphincter (UES); Cricopharynx; Foreign Body (FB); Piriform Fossa; Impaction; Pharyngeal Constrictors. 

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