SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : FOREIGN BODY OF THE ESOPHAGUS - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Are more likely to fall and get stuck in the esophagus acute foreign body (fish and meat bones), voluminous foreign body (dentures), children - coins, small parts of toys.
The pathogenesis. Foreign body stuck more often in the beginning of the esophagus behind the cricoid cartilage (15 cm from the tooth edge), at the level of bifurcation (25 cm from the tooth edge) and at the entrance to the stomach (40 cm from the tooth edge). Foreign body partially or completely violates swallowing. Acute foreign body gives the bed sore and may cause perforation of the esophagus (periesophageal) or perforation of the large vessels is bleeding.
Symptoms. Chest pain and back pain, difficulty and pain in swallowing, salivation, voluminous foreign bodies - shortness of breath. The feeling of a foreign body in the esophagus is so characteristic that the patient himself often correctly diagnosed. If there are scratches in the esophagus remains a foreign body sensation, if it is passed into the stomach. When perforation of the esophagus foreign body in the tissues of the neck and mediastinum appears the gas as determined by palpation (crepitus) and x-ray study. With the development of the inflammatory process the temperature rises, swelling of the neck, sometimes crepitus, pain intensifies, quickly comes intoxication.
For. Inflammation of the esophageal wall at the damage to her foreign bodies (esophagitis) are developing very quickly, moving to surrounding tissue (periesophageal) and mediastinum (mediastinal). The infection has the character of putrefactive and quickly leads to the death of the patient.
Recognition is easy, small children are more difficult. Clarifies the diagnosis fluoroscopy and endoscopy.
Complications see Mediastinic.
Any attempt removal of foreign body or the blind pushing his probe is invalid. The foreign body is removed using esophagoscope or surgery.