Cervical esophageal foreign body removal surgery

Esophageal foreign body removal is a common emergency in the process of eating, which can happen to both children and adults. Causes of esophageal foreign bodies may be due to food size, fast and hasty eating, abnormal contractions of the esophagus, ... This case rarely causes immediate death, but if not treated promptly may cause an infection.

Foreign bodies in the esophagus or food foreign bodies are often accidental, if left for a long time, the risk of death is very high. The most common foreign body is from animal bones. If the person has a bone fracture to go to the second day on, it can cause a mediastinal abscess. With sharp bones that can cause large artery perforation, this is a very dangerous complication.
People with food objects often find it difficult to swallow, when swallowing, it will be painful or impossible to eat. In severe cases such as esophageal perforation, foreign bodies may cause abscesses in the paracervical and mediastinum. In the case of a perforated artery, the patient can die. According to some studies, esophageal foreign bodies are more common in adults than children, due to careless eating habits.

Typical symptoms of food poisoning are obstruction of the feeding and airway passages, making the patient cough, choking, breathing difficulties, and rarely, immediate death. Most patients will feel a lump and sore throat or neck at the position behind the sternum, whether swallowing food or even saliva is painful. Depending on the nature of the foreign body and the time when the foreign body is detected, inflammation may appear. Symptoms of the patient can be divided into typical stages:
Early stage:
Swallowing pain, difficulty eating. If the patient tries to spit or eat more rice, vegetables can make the situation worse, not swallowing is also painful. In case of esophageal foreign body, the patient will have pain in the area behind the sternum, pain through the back or up the shoulder blade,... Inflammatory phase:
Usually occurs when the foreign body injures the lining of the esophagus or punctures the esophagus. into the esophagus. The risk of infection is higher when choking contains both bones and meat. Patients will notice symptoms of swallowing pain, neck pain, chest pain increasing after 1-2 days. If left for a long time, it can make the condition more dangerous and cause other complications. Complications stage:
Caused by a foreign body containing organic matter, thereby causing bacterial infection. Inflammation around the neck of the esophagus usually occurs when a foreign body punctures the wall of the esophagus causing diffuse inflammation of the esophagus wall, the connective tissue becomes loose. The patient is in a state of high fever, collapse, obvious infection, increased salivation, bad breath. Mediastinitis: Caused by a foreign body puncture the wall of the esophagus. Patients with high fever, decreased body temperature accompanied by chest pain, difficulty breathing,... Pulmonary complications: Possibly due to foreign bodies perforating the pleura causing purulent bronchitis. From there, we see that the patient has all the symptoms of pleural effusion with high fever, chest pain, shortness of breath.

The steps to remove the esophageal foreign body in the neck are as follows:
First, endoscopy is needed to detect the foreign body as well as remove the foreign body from the neck. In case the foreign body has a rough, sharp shape that cannot be removed by endotracheal method, the patient needs to open the chest, open the trachea to remove the foreign body. For patients with severe dyspnea, chest opening should be performed prior to bronchoscopy. If the patient's body is weak and tired, it is necessary to be resuscitated before endoscopy. Esophageal foreign bodies can be caused by food size, fast and hasty eating, abnormal contractions of the esophagus,... Esophageal foreign bodies rarely cause immediate death, but if not handled promptly, they can cause inflammation. Therefore, when there are signs of suspicion of a foreign body in the esophagus, the patient needs to go to a medical facility for examination and treatment.