Williams Eric W.; Chambers, D.; Ashman, Hugh; Williams-Johnson, J.; Singh, P.; McDonald, Archibald. H.; Lindo, John F.; Wierenga, Andrea M.; Forde, R.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Oesophageal Foreign Bodies at the University Hospital of the West Indies [Abstract]
West Indian Medical Journal
Date of Publication
Objective: The problem of foreign bodies in the aesophagus differs from that of foreign bodies (FBs) more distal in the gastrointestinal tract. This seeks to evaluate patients with swallowed oesophageal FB with respect to the type of objects swallowed, their clinical presentation, the usefullness of radiographic studies and the role of endoscopy in our setting. Methods: Over a period of six years (1996-2002), all patients with a presentation suggestive of a swallowed FB were admitted to the Ear, Nose and Throat (ENT) ward via the emergency room. The charts were analyzed for each patient's age, time of ingestion to presentation, presenting symptoms, type of FB and treatment. Both antero-posterior and lateral cervical radiographs were done in all patients. A diagnosis of an oesophageal FB was made on a combination of history, symptoms and radiological findings. FBs in the oropharynx or distal to the oesophagus (eg stomach ) were excluded.....