Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

作     者：Ibrahima Diallo Aboubacar Gouéta Alseny Camara Assoumi Anatou Biga Mama Brigitte Ouoba Edi Emmanuel Martial Nao Moustapha Sérémé Bertin Priva Ouédraogo Yvette Marie Chantal Gyébré Abdoulaye Keita Alpha Oumar Diallo Ibrahima Diallo;Aboubacar Gouéta;Alseny Camara;Assoumi Anatou Biga;Mama Brigitte Ouoba;Edi Emmanuel Martial Nao;Moustapha Sérémé;Bertin Priva Ouédraogo;Yvette Marie Chantal Gyébré;Abdoulaye Keita;Alpha Oumar Diallo

作者机构：ENT and HNS Department Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Bogodogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Tengandogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Conakry University Hospital Conakry Guinea 

出 版 物：《International Journal of Otolaryngology and Head & Neck Surgery》 (耳鼻喉（英文）)

年 卷 期：2024年第13卷第2期

页      面：135-148页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Foreign Bodies Esophagus Vulnerable Management Sequelae 

摘      要：Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado Ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012-2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%). The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.