Foreign bodies in esophagus: our experiences


  • A. G. Naveen Kumar Associate Professor, Department of ENT, Sapthagiri Institute of Medical Science- Research Centre, Bangalore, Karnataka, India



Esophageal foreign body, Children, Rigid esophagoscopy, Coin, Sharp foreign bodies


Background: Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.

Methods: Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed.  

Results: Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.

Conclusions: The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.

Author Biography

A. G. Naveen Kumar, Associate Professor, Department of ENT, Sapthagiri Institute of Medical Science- Research Centre, Bangalore, Karnataka, India





Bonadio WA, Jona JZ, Glicklich M, Cohen R. Esophageal bougienage technique for coin ingestion in children. J Pediatr Surg. 1998;23:917-8.

Monnier P, Savary M. Foreign bodies of the esophagus: a retrospective study in 1436 adults. Proceedings of the International Congress of Thorax Surgery, Monduzzi Editore: Bologna; 1997: 197–200.

Erbs J, Babbitt DP. Foreign bodies in the alimentary tracct of infants and children, Appl Ther. 1965;7:1103-9.

Webb WA, McDaniel L, Jone L. Foreign bodies of the upper gastrointestinal tract: Current management. South Med J. 1984;77:10836.

Hamilton JK, Polter DE. Gastrointestinal foreign bodies. In: Gastrointestinal disease: Pathophysiology, Diagnosis and Management, editors. Sleisenger MH, Fordtran JS. W.B. Saunders Co: Philadelphia; 1993: 286-292.

Ambe P, Weber SA, Schauer M, Knoefel WT. Swallowed foreign bodies in adults. Dtsch A ¨rztebl Int. 2012;109:869–75.

Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z. Endoscopic management of foreign bodies in the upperGI tract: experience with 1088 cases in China. Gastrointest Endosc. 2006;64:485–92.

Peng A, Li Y, Xiao Z. Study of clinical treatment of esophageal foreign body induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol. 2012;269:2027–36.

Shaker H, Elsayed H, Whittle I, Hussein S, Shackcloth M. The influence of the ‘golden 24-h rule’ on the prognosis of oesophageal perforation in the modern era. Eur J Cardiothorac Surg. 2010;38:216–22.

Stack LB, Munter DW. Foreign bodies in the gastro-intestinal tract. Emerg Med Clin North Am. 1996;14:493-521.

Binder L, Anderson WA. Paediatric gastro-intestinal foreign body ingestions. Ann Emerg Med. 1994;13:112-7.

Taylor RB. Esophageal foreign bodies. Emerg Med Clin North Am. 1987;5:301-11.

Shivakumar AM, Naik AS, Prashanth KB, Hongal GF, Chaturvedy G. Foreign bodies in upper digestive tract. Indian J Otolaryngol Head Neck Surg. 2006;58:1.

Saki N, Nikakhlagh S, Safai F, Peyvasteh M. esophageal foreign bodies in children. Pak J Med Sci. 2007;23:854-6.

Al-Qudah A, Daradkeh S, Abu- Khalaf M. Esophageal foreign bodies. Eur J Cardio-thoracic Surg. 1998;13:494–9.

Williams EW, Chambers D, Ashman H, Williams-Johnson J, Singh P, et al. Oesophageal foreign bodies at the University Hospital of the West Indies, West Indian Med J. 2005;54:1.

Hawkins D. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol. 1990;99:935-40.

Singh B, Gady Har EL, Kantu M, Lucente FE. Complications associated with 327 foreign bodies of the pharynx, larynx and esophagus. Ann Otol Rhinol Laryngol. 1997;106:301-4.

Vyas K, Sawant P, Rathi P, Das HS, Borse N. Foreign bodies in gut. JAPI. 2000;48:394-6.






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