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New Indian Journal of Surgery

Volume  11, Issue 1, January-March 2020, Pages 75-77
 

Case Report

Endoscopic Retrieval of Impacted Meat Bone Causing Chronic Dysphagia

Gautam Gole1, Rajiv Khurana2, Sandeep Kumar3

1Professor & HOD, 2Assistant Professor, 3Senior Resident, Department of General Surgery, Shaheed Hasan Khan Mewati Government Medical College, Nuh, Nalhar, Haryana 122107, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11120.12

Abstract

Impacted foreign body in esophagus is a clinical emergency as such most often seen in children, but sometimes in adults foreign bodies are usually accidentally ingested admixed with food. Food foreign body require emergent treatment within 2 hours and definitive treatment within 6 hours. In adults, fish bone is the most common food associated foreign body in Asia, while meat bone is the most common cause in Europe. Male gender is more commonly involved gender than female.1 In 80% of cases, the ingested material pass uneventfully through the gastro/intestinal tract (GIT).2 Endoscopy is performed in 20% cases3 and surgical intervention is required in less than 1% cases.4 Emergency esophagogastroduodenoscopy is indicated when occlusion is complete, impacted object is sharp and if impacted foreign body is a battery. Poor prognosis is associated with time lapse after impaction, type of foreign body and size of foreign body (>3 cm). We are reporting a case of chronic dysphagia of more than one year duration in a male caused by impacted meat bone of size more than 3 cm in esophagus. 

Keywords: Eesophagus; Endoscopy; Chronic dysphagia; Gastro intestinal tract (GIT).


Corresponding Author : Rajiv Khurana