ISSN 2398-2969      

Esophagus: foreign body

icanis

Synonym(s): OEFB


Introduction

  • Cause: bones and fish hooks are most common foreign body encountered.
  • Common sites: thoracic inlet or between heart base and cardia.
  • Signs: salivation, repeated swallowing and regurgitation.
  • Diagnosis: radiography, esophagoscopy.
  • Treatment: removal by endoscopy or surgery.
  • Prognosis:
    • Guarded if chronic or moderate/severe esophageal damage.
    • Good if prompt removal and minor esophageal trauma.
    • Guarded/poor if perforation.

      Print off the owner factsheet Oesophageal foreign bodies in dogs Oesophageal foreign bodies in dogs to give to your client.

Pathogenesis

Pathophysiology

  • Persistent regurgitation/lack of oral intake → dehydration → electrolyte imbalance.
  • Pressure necrosis may lead to:
    • Penetration of the cervical esophagus → contamination and cellulitis of the cervical tissue.
    • Thoracic perforation → catastrophic mediastinitis and pleurisy.

Timecourse

  • Hours to days.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Spielman B L, Shaker E H & Garvey M S (1992) Esophageal foreign body in dogs - a retrospective study of 23 cases. JAAHA 28 (6), 570-574 VetMedResource.
  • Houlton et al (1985) Thoracic esophageal foreign bodies in the dog - a review of 90 cases. JSAP 26 (9), 521-536 VetMedResource.
  • Zimmer J F (1984) Canine esophageal foreign bodies - endoscopic surgical and medical management. JAAHA 20 (4), 669-677 VetMedResource.

Other sources of information

  • Washabau R J (1996) Swallowing disorders. In: Manual of canine and feline gastroenterology Eds L D A Thomas, J W Simpson & E J Hall. Cheltenham: BSAVA. pp 67.

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