Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T11:20:39.539Z Has data issue: false hasContentIssue false
  • English
  • Français

The usefulness of computed tomography in the diagnosis of impacted fish bones in the oesophagus

Published online by Cambridge University Press:  29 June 2007

Ken-ichi Watanabe ,
Toshihiko Kikuchi ,
Yukio Katori ,
Hiroko Fujiwara ,
Reiji Sugita ,
Tomonori Takasaka  and
Sho Hashimoto
Ken-ichi Watanabe*
Affiliation:
Departments of Otolaryngology, Tohoku University School of Medicine, Sendai, 980-8574, Japan.
Toshihiko Kikuchi
Affiliation:
Departments of Otolaryngology, Tohoku University School of Medicine, Sendai, 980-8574, Japan.
Yukio Katori
Affiliation:
Departments of Otolaryngology, Yamagata City Hospital, Yamagata City Hospital, Yamagata 990-0042, Japan.
Hiroko Fujiwara
Affiliation:
Departments of Otolaryngology, Yamagata City Hospital, Yamagata City Hospital, Yamagata 990-0042, Japan.
Reiji Sugita
Affiliation:
Yamagata and the Department of Radiology, Yamagata City Hospital, Yamagata 990-0042, Japan.
Tomonori Takasaka
Affiliation:
Departments of Otolaryngology, Tohoku University School of Medicine, Sendai, 980-8574, Japan.
Sho Hashimoto
Affiliation:
Departments of Otolaryngology, Tohoku University School of Medicine, Sendai, 980-8574, Japan.
*
Address for correspondence: Ken-ichi Watanabe, M.D., Department of Otolaryngology, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.
Get access Rights & Permissions [Opens in a new window]

Abstract

The usefulness of computed tomography (CT) in the diagnosis of fish bone impaction in the oesophagus was evaluated. Thirty-two patients were examined by plain X-ray followed by direct oesophagoscopy for suspected fish bone impaction. Among 25 cases in which fish bones were actually removed, foreign bodies were not clearly demonstrated by plain X-ray in 14 cases (56 per cent). Eleven cases underwent CT prior to the oesophagoscopic examination. Fish bones were clearly demonstrated by CT in all patients. CT also clearly visualized secondarily-induced inflammatory changes in the neighbouring structures. In order to confirm this result, we made a simulation model of oesophageal fish bone impaction, using fish bones of three different species surrounded by a water bag. In comparison with plain X-ray, CT depicted a superior image of fine fish bones and provides extremely useful information for the management of impacted fish bones in the oesophagus.

Keywords

Foreign bodiesOesophagusTomography, X-ray computed
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 4 , April 1998 , pp. 360 - 364
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brady, P. G. (1985) Endoscopic removal of foreign bodies. In Therapeutic Gastrointestinal Endoscopy. 1st Edition. (Silvis, S. E., ed.), Igaku-Shoin, New York, pp 67–93.Google Scholar
Braverman, I., Gomori, J. M., Polv, O., Saah, D. (1993) The role of CT imaging in the evaluation of cervical oesophageal foreign bodies. Journal of Otolaryngology 22: 311–314.Google Scholar
Ell, S. R. (1989) Radio-opacity of fishbones. Journal of Laryngology and Otology 103: 1224–1226.CrossRefGoogle ScholarPubMed
Eli, S. R., Sprigg, A. (1991) The radio-opacity of fish bones – species variation. Clinical Radiology 44: 104–107.CrossRefGoogle Scholar
Evans, R. M., Ahuja, A., Rhys Williams, S., Van Hasselt, C. A. (1992) The lateral neck radiograph in suspected impacted fish bones – Does it have a role? Clinical Radiology 46: 121–123.CrossRefGoogle ScholarPubMed
Gamba, J. L., Heaston, D. K., Ling, D., Korobkin, M. (1983) CT diagnosis of an oesophageal foreign body. American Journal of Roentgenology 140: 289–290.CrossRefGoogle Scholar
Herranz-Gonzalez, J., Martinez-Vidal, J., Garcia-Sarandese, A., Vazquez-Barro, A. (1991) Oesophageal foreign bodies in adults. Otolaryngology – Head and Neck Surgery 105: 649–654.CrossRefGoogle ScholarPubMed
Jones, N. S., Lannigan, F. J., Salama, N. Y. (1991) Foreign bodies in the throat: a prospective study of 388 cases. Journal of Laryngology and Otology 105: 104–108.CrossRefGoogle Scholar
Nakabayashi, S., Ikeda, K., Takasaka, T. (1996) A statistical analysis of oesophageal foreign bodies by fish bones. Journal of Japan Bronchoesophageal Society 47: 312–317.Google Scholar
Nandi, P., Ong, G. B. (1978) Foreign body in the oesophagusreview of 2,394 cases. British Journal of Surgery 65: 5–9.CrossRefGoogle Scholar
Ngan, J. H. K., Fok, P. J., Lai, E. C. S., Branicki, F. J., Wong, J. (1990) A prospective study on fish bone ingestion. Annals of Surgery 211: 459–462.CrossRefGoogle ScholarPubMed
Phillips, J. J., Patel, P. (1988) Swallowed foreign bodies. Journal of Laryngology and Otology 102: 235–241.CrossRefGoogle Scholar
Yang, C. Y. (1991) The management of ingested foreign bodies in the upper digestive tract: a retrospective study of 46 cases. Singapore Medical Journal 32: 312–315.Google Scholar