Endoscopic Foreign Body Removal in Kokapet, Hyderabad
When someone consumes an object that cannot pass through the gastrointestinal tract, that object is a foreign body. This can result in systemic toxicity, inflammation of the abdominal lining, infection, or obstruction of the intestinal tract if it stays lodged inside the animal
Endoscopic foreign body retrieval refers to the removal of ingested objects from the esophagus, stomach, and duodenum by endoscopic techniques. It does not involve surgery, but rather encompasses a variety of techniques employed through the gastroscope for grasping foreign bodies, manipulating them, and removing them while protecting the esophagus and trachea. It is of particular importance with children, people with mental illness and prison inmates as these groups have a high rate of foreign body ingestion.
The process of foreign body removal depends on what was ingested, how it was ingested, and when it was ingested. In certain cases, the object will naturally pass while others may require open surgery. Before the operation, will perform a physical examination and complete x-rays (or other imaging scans) to determine the safest approach to remove the object. Then, the patient will be sedated with local or general anesthesia, depending on how invasive the surgery.
Endoscopic retrieval involves the use of a gastroscope or an optic fiber charge-coupled device camera. This instrument is shaped as a long tube, which is inserted through the mouth into the esophagus and stomach to identify the foreign body or bodies. This procedure is typically performed under conscious sedation. Many techniques have been described to remove foreign bodies from the stomach and esophagus. Usually, the esophagus is protected with an overtube (a plastic tube of varying length), through which the gastroscope and retrieved objects are passed
Once the foreign body has been identified with the gastroscope, various devices can be passed through the gastroscope to grasp or manipulate the foreign body. Devices used include forceps, which come in varying shapes, sizes and grips, snares, and oval loops that can be retracted from outside the gastroscope to lasso objects, as well as Roth baskets (mesh nets that can be closed to trap small objects), and magnets placed at the end of the scope or at the end of orogastric tubes. Some techniques have been described that use foley catheters to trap objects or use two snares to orient foreign bodies.
What are the possible risks of endoscopic foreign body removal?
An EGD to remove objects is safe and effective, but any procedure carries a risk of complications. The main risk is a possible tear in the esophagus that may result from removing an item or pushing it into the stomach.
In rare cases, you may need surgery to remove an object that cannot be removed through EGD.
Are there other treatments that I can have instead of endoscopic foreign body removal?
If you have food stuck in your esophagus, the doctor may recommend a medication called glucagon. The medication relaxes the muscles at the end of the esophagus, which may help the food pass into the stomach for digestion. If this is not successful it will need to be removed with an EGD.
What should I expect during endoscopic foreign body removal?
To remove a foreign object from the digestive tract, doctors perform an EGD. Before the procedure, you receive a sedative to relax you and make you drowsy. You may fall asleep.
To perform an EGD, doctors use an endoscope. This long, flexible tube has a lighted camera at its tip and channels for inserting instruments through the scope. The doctor passes the endoscope through the mouth and into the esophagus to see the obstruction.
Using the instruments, the doctor can remove the foreign body. If the object is in the esophagus and can pass through the body on its own, the doctor may decide to push it into the stomach.