Computed tomography diagnosis of esophageal bone impaction: a prospective study.
- 1 July 1999
- journal article
- research article
- Published by SAGE Publications in Annals of Otology, Rhinology & Laryngology
- Vol. 108 (7), 708-710
- https://doi.org/10.1177/000348949910800717
Abstract
A prospective study was performed on 45 patients for an assessment of the use of computed tomography (CT) in the management of a suspected esophageal fish bone or chicken bone. All patients had negative findings on laryngoscopy; therefore, pharyngeal and hypopharyngeal foreign bodies were excluded from further consideration. The patients underwent radiographic examination with plain films and a cervical CT scan without contrast material. Patients with positive findings were taken to the operating room, where they underwent rigid esophagoscopy under general anesthesia, while those with negative findings remained for observation for 24 hours. Thirty CT scans were positive for an esophageal foreign body, and in all cases but 1, a foreign body was found during the operation. Fourteen of 15 patients with normal CT scan findings managed well with no further intervention. One patient with persistent complaints underwent esophagoscopy, but no foreign body was found. Our conclusion is therefore that CT is a simple and reliable method for diagnosing esophageal bone impaction and may reduce the rate of unnecessary esophagoscopies.Keywords
This publication has 7 references indexed in Scilit:
- Ingested foreign bodies – a contemporary management approachThe Journal of Laryngology & Otology, 1995
- The value of radiographic assessment for oropharyngeal foreign bodiesThe Journal of Laryngology & Otology, 1995
- Management of ingested foreign objects and food bolus impactionsGastrointestinal Endoscopy, 1995
- Negative findings of esophagoscopy for suspected foreign bodiesAmerican Journal of Otolaryngology, 1994
- The lateral neck radiograph in suspected impacted fish bones — Does it have a role?Clinical Radiology, 1992
- Chicken bone lodged in the upper esophagus: CT findingsAbdominal Radiology, 1991
- CT diagnosis of an esophageal foreign bodyAmerican Journal of Roentgenology, 1983