Hakan ÖZDEMİR, Oğuzhan SUNAMAK, Meryem Günay GÜRLEYİK, Zehra ÜNAL ÖZDEMİR

Importance of Rigid Endoscopy in Esophageal Sharp Foreign Body

Esophageal perforations are emergent cases. They may be iatrogenic, spontaneous or because of foreign body. The first diagnostic tool and intervention are imaging and flexible endoscopy in the case of foreign body. Flexible endoscopy is easy to use, widely available and has a low complication rate. Rigid endoscopy needs experience and general anesthesia.54-years-old female patient came with the complaint of goose bone piece impaction in esophagus. Direct graphs showed the foreign body in cervical esophagus. Flexible endoscopy failed and control CT revealed free air around cervical esophagus and perforation. It was removed by rigid endoscopy.Esophageal foreign bodies must be removed immediately. If perforation occurs, main approach is primary repair in early and, resection and anastomosis in late ones. Non-operative treatment may be tried in clinically stable patients. Endoscopic stenting, clip application, and percuatenous abcess drainage may decrease surgery need. If flexible endoscopy fails, rigid endoscopy may be more appropriate.

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