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Safe Extraction of an Impacted Open Safety Pin from the Esophagus
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Case description
Safe Extraction of an Impacted Open Safety Pin from the Esophagus: Dr. Deore Jayyavant.
Foreign body ingestion is a common problem in children.
An infrequent ingested item is an open safety pin (SP), which may become lodged in the esophagus and presents the endoscopist a challenge to his surgical judgment and technical skills.
Cap was prepared from 8 no endotracheal tube by cutting it's distal end and is attached to tip of OGD Scope i.e. Cap attached OGD Scope.
Plain neck, chest radiograph revealed the presence of an open safety pin (sp) impacted at the upper third of esophagus pointing upwards
Esophagoscopy was successfully carried out with a Flexible gastroscope with our attachment to the endoscopic tip as shown
The child was intubated under general anesthesia.
Esophagoscopy showed a normal esophageal wall. Only the clasp of the sp was visible, whereas the sharp point of it had pierced the oesophgeal mucosa.
Sharp point of safety pin was impossible to be grasped, as it seemed to be stuck into the esophageal mucosa. Therefore the safety pin was slightly pushed downwards. Sharp point of safety pin entered into the cap as we pushed the safety pin downwards.
Sharp point of safety pin held with rat tooth forceps and removed safely without causing any trauma to mucasa of oesophagus.
The child was discharged on 2nd postoperative day. The recovery was uneventful.
Aim of my presentation is that this is my innovation.
Foreign body ingestion is a common problem in children.
An infrequent ingested item is an open safety pin (SP), which may become lodged in the esophagus and presents the endoscopist a challenge to his surgical judgment and technical skills.
Cap was prepared from 8 no endotracheal tube by cutting it's distal end and is attached to tip of OGD Scope i.e. Cap attached OGD Scope.
Plain neck, chest radiograph revealed the presence of an open safety pin (sp) impacted at the upper third of esophagus pointing upwards
Esophagoscopy was successfully carried out with a Flexible gastroscope with our attachment to the endoscopic tip as shown
The child was intubated under general anesthesia.
Esophagoscopy showed a normal esophageal wall. Only the clasp of the sp was visible, whereas the sharp point of it had pierced the oesophgeal mucosa.
Sharp point of safety pin was impossible to be grasped, as it seemed to be stuck into the esophageal mucosa. Therefore the safety pin was slightly pushed downwards. Sharp point of safety pin entered into the cap as we pushed the safety pin downwards.
Sharp point of safety pin held with rat tooth forceps and removed safely without causing any trauma to mucasa of oesophagus.
The child was discharged on 2nd postoperative day. The recovery was uneventful.
Aim of my presentation is that this is my innovation.
