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DOI: 10.1055/s-0045-1806320
Unsuccessful endoscopic extraction of an impacted raw potato in the esophagus: A case report
Autoren
Esophageal foreign body impaction is a serious symptomatic condition that requires urgent endoscopic extraction shortly after ingestion. A forty-year-old male patient was transferred to our tertiary gastroenterology center due to esophageal impaction. The patient was mentally disabled and had swallowed a large piece of raw potato earlier that day. Complaining of chest pain and inability to swallow the saliva, the condition was highly suggestive of esophageal impaction. After endotracheal intubation, the attending gastroenterologist performed an urgent gastroscopy under general anesthesia. The gastroscopy detected a large piece of raw potato impacted at the level of the upper esophageal sphincter. The potato occluded the entire esophageal lumen, making it impossible to push the potato, overpass it with the extraction device, or penetrate through for an attempt at piecemeal extraction. Shortly after, a second attempt at extraction by a senior endoscopist was performed but was also unsuccessful. Finally, the patient was referred for surgical extraction. Fortunately, several hours later, the patient vomited the potato and was safely discharged a few days later. To the best of our knowledge, there is no previous case report describing an esophageal impaction of a raw potato. According to the literature data, the successful extraction rate of esophageal foreign bodies is above 95%, and surgical extraction is required in 1-3% of the cases. However, in a small proportion of patients, as presented in our case, the endoscopic extraction of esophageal foreign body is not feasible [1] [2] [3].
Publikationsverlauf
Artikel online veröffentlicht:
27. März 2025
© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.
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References
- 1 Gangwani MK, Aziz M, Dahiya DS. et al. Comparable Efficacy for Push Versus Pull Technique in Esophageal Food Impaction: Systematic Review with Meta-Analysis. Dig Dis Sci 2023; 68 (8): 3354-3364
- 2 Aiolfi A, Ferrari D, Riva CG, Toti F, Bonitta G, Bonavina L.. Esophageal foreign bodies in adults: systematic review of the literature. Scand J Gastroenterol 2018; 53 (10/11): 1171-1178
- 3 Birk M, Bauerfeind P, Deprez PH. et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48 (5): 489-496
