Double Fogarty balloon catheter technique for difficult to retrieve esophageal foreign bodies

Peng You; Sandra Katsiris; Julie E Strychowsky

doi:10.1186/s40463-018-0318-3

Double Fogarty balloon catheter technique for difficult to retrieve esophageal foreign bodies

J Otolaryngol Head Neck Surg. 2018 Nov 20;47(1):72. doi: 10.1186/s40463-018-0318-3.

Authors

Peng You¹, Sandra Katsiris², Julie E Strychowsky³

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.
² Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, Canada.
³ Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada. Julie.strychowsky@lhsc.on.ca.

Abstract

Background: Foreign body ingestion is common, especially in the pediatric population. Plans for retrieval should be tailored to the specific esophageal foreign bodies.

Case presentation: We present a difficult to retrieve esophageal foreign body in a 3-year-old girl who ingested a 2 cm glass pebble. Intraoperatively, attempts using conventional optical forceps and retrieval baskets were unsuccessful due to the size and smooth texture of the object. A novel strategy using double Fogarty embolectomy balloon catheters for retrieval of blunt esophageal foreign bodies was devised and described.

Conclusion: The double fogarty retrieval technique described appeared to be safe and efficacious, allowing for extraction of large esophageal foreign bodies under direct visualization.

Keywords: Balloon extraction; Fogarty catheter; Foreign body removal; Pediatrics; Rigid esophagoscopy.

Publication types

Case Reports

MeSH terms

Balloon Embolectomy / instrumentation*
Balloon Embolectomy / methods
Child, Preschool
Esophagoscopy / methods*
Esophagus*
Female
Follow-Up Studies
Foreign Bodies / diagnostic imaging*
Foreign Bodies / therapy*
Humans
Treatment Outcome