Patients without complications within 24 hours of rigid oesophagoscopy
and 24-48 hours of contrast-enhanced oesophagograms were discharged.
Depending on the IDL examination and X-ray findings, diagnostic endoscopy (either laryngoscopy or oesophagoscopy
) under GA was performed and fish bone was removed.
has revealed that the most common places of food bolus obstruction are between 15 cm and 25 cm, and between 30 cm and 40 cm from the front teeth, usually, imaginary front teeth, the frequency being 42.86%, whereas the distance from to 25 cm to 30 cm from the front teeth is far less frequent.
Further flexible nasoendoscopy assessment in clinic was concerning and unhelpful in assessing the piriform fossa (right side--erythematous and oedematous), prompting a further general anaesthetic rigid laryngopharyngo-upper oesophagoscopy
procedure to exclude a synchronous tumour.
, gastroscopy and duodenoscopy findings, reported in the GI record, are shown in Table III.
Foreign bodies from the digestive tract are usually removed by rigid oesophagoscopy
but in certain cases flexible upper gastrointestinal endoscopy may be required.
Also, 19(79.2%) patients underwent direct laryngoscopy and 5(16.7%) required oesophagoscopy
. The sensitivity with X-ray was 15% and specificity was zero.
He was planned and prepared for rigid oesophagoscopy
under general anaesthesia.
The scan - a transnasal oesophagoscopy
- is carried out using equipment bought with a pounds 40,000 grant from the Arden Cancer Network.
MD=mandibular distraction, PRS=Pierre Robin sequence, PDA=patent ductus arteriosus, nCPAP=nasal continuous positive airway pressure, NICU=neonatal intensive care unit, NPA=nasopharyngeal airway, FOI=fibreoptic intubation, LBO=laryngoscopy, bronchoscopy and oesophagoscopy
, OR=operating room, MRI=magnetic resonance imaging, GI=gastrointestinal.
The proponents of selective exploration on the basis of special investigations allude to the high rate of negative explorations in mandatory neck explorations and the excellent sensitivity of special investigations such as angiography, oesophagography, oesophagoscopy
and flexible laryngotracheobronchoscopy in excluding clinically significant injuries.
Cervical oesophageal perforation caused by diagnostic flexible oesophagoscopy
. J Otolaryngol 1989;18:314-6.