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Cap-Assisted Technique versus Conventional Methods for Esophageal Food Bolus Extraction: A Comparative Study

Clinical Endoscopy 2019년 52권 5호 p.458 ~ 463
 ( Wahba Mahmoud ) - Cairo University Kasr Alainy Faculty of Medicine Department of Internal Medicine

 ( Habib Ghada ) - Cairo University Kasr Alainy Faculty of Medicine Department of Tropical Medicine
 ( El Mazny Ahmed ) - Cairo University Kasr Alainy Faculty of Medicine Department of Internal Medicine
 ( Elfeki Mohamed A. ) - Beni-Suef University Faculty of Medicine Department of Internal Medicine
 ( Sabry Seham ) - Al-Azhar University Faculty of Medicine Department of Internal Medicine
 ( ELbaz Mahommad ) - Cairo University Kasr Alainy Faculty of Medicine Department of Internal Medicine
 ( El Nasr Sayed M Seif ) - Cairo University Kasr Alainy Faculty of Medicine Department of Internal Medicine

Abstract


Background/Aims: Food bolus impaction is the most common form of esophageal foreign body impaction observed in adults. Clinical guidelines recommend using the push technique or retrieval methods in such cases. The push technique can cause injuries in certain clinical situations. Notably, conventional retrieval methods are time and effort consuming. Cap-assisted endoscopic extraction of an impacted food bolus is an easy and effective technique; however, more data are needed for its validation. This study compared the capassisted extraction technique with conventional methods.

Methods: This prospective observational multicenter study compared the success and en bloc removal rates, total procedure time, and adverse events in both techniques..

Results: The study included 303 patients who underwent food bolus extraction. The push technique was used in 87 patients (28.7%) and a retrieval procedure in 216 patients (71.3%). Cap-assisted extraction was performed in 106 patients and retrieval using conventional methods in 110 patients. The cap-assisted technique was associated with a higher rate of en bloc removal (80.2% vs. 15%, p<0.01), shorter procedure time (6.9±3.5 min vs. 15.7±4.1 min, p<0.001), and fewer adverse events (0/106 vs. 9/110, p<0.001).

Conclusions: Cap-assisted extraction showed no adverse events, higher efficacy, and a shorter procedure time compared with conventional retrieval procedures.

키워드

Foreign body; Food bolus; Cap-assisted extraction
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