Esophageal Foreign Body Extraction Using Transnasal Esophagoscopy

Objectives: This report concerns office-based esophageal foreign body extraction using transnasal videoendoscopy and advantages of this intervention. Methods: A videoendoscope with a working channel for irrigation, air insufflation and forceps was used. The diameter of the videoendoscope tip was 5.3 mm. Transoral esophageal foreign body extraction using transnasal esophagoscopy was performed under surface anesthesia. Case Report: A seventy-one-year old male complained of having a sore throat after taking medicine. An X-ray examination showed the esophageal foreign body (PTP: Press through package medicine). Transnasal esophagoscopy was performed in a sitting position on a procedure chair at the outpatient clinic without sedation. In this case, the foreign body was too large to extract through the nasal cavity. Therefore, after extracting the foreign body as far as the oropharynx, the PTP was extracted transorally. Results: The patient could be treated in a sitting position on a procedure chair at the otolaryngology outpatient clinic, which obviates the need for sedation or general anesthesia. The videoendoscope diameter is relatively small and results in less discomfort to the patient. Conclusions: Transoral esophageal foreign body extraction using transnasal videoendoscopy is one of the options that have widened the indications for officebased foreign body extraction.