Foreign bodies (FB) of the esophagus are often observed.
- Causes of IT getting into the esophagus
- Unintentional (accidental ingestion)
- Deliberate waste of IT by psychiatric patients.
- The level of IT delay in the esophagus
- Sharp foreign bodies lodged in the upper esophagus
- Large and without sharp corners objects – in places of physiological narrowing.
- Causes contributing to IT delay
- Spasm of the musculature of the esophagus in response to irritation of the mucous membrane of IT
- Pathological changes in the wall of the esophagus: tumors, strictures, diverticula.
- The degree of damage to the wall of the esophagus
- Early perforation of the wall is possible when acute IT hits
- Necrosis, decubitus and late perforation of the wall with large IT without sharp corners.
- Feeling of fear
- Pain that is constant or occurs when swallowing, localized in the pharynx, in the region of the jugular fossa, behind the sternum
- Dysphagia is caused by spasm of the muscles of the esophagus and inflammatory edema of its mucous membrane.
- Regurgitation, up to complete obstruction of the esophagus.
- Multi-axis radiological detection of radiopaque FBs
- FEGDS makes it possible not only to verify IT, but also to delete it.
- Conservative: FB removal with a rigid esophagoscope
- Surgical: esophagotomy, removal of FB, suturing of the esophageal wall.
- Bleeding from damaged vessels of varying intensity
- Traumatic esophagitis and wall perforation.
See also Injuries of the esophagus Reduction. IT is a foreign body of the ICD. T18.1 Foreign body in esophagus