Fragmentation of Esophageal Foreign Body With the Holmium: YAG Laser

摘要

A 78-year-old man was admitted with hypersalivation and inability to swallow liquids after accidental foreign body ingestion. Esophagogastroduodenoscopy identified a flat and sharp-pointed chicken bone lodged in the distal esophagus (Figure ). Initial endoscopic removal with a variety of devices (retrieval forceps, polypectomy snares, and even rigid esophagoscopy) was ineffective. An inflated wire-guided balloon dilator was also unsuccessful in retrieving the bone. Computed tomography revealed the absence of esophageal perforation, and 12 hours after admission, the patient was referred to our center.