The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body
Objective: To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body. Methods: Study Design: Preliminary Diagnostic Test Assessment; Consecutive Convenience Sample Setting: Tert...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2015-06-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/397 |
| _version_ | 1819027109699387392 |
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| author | Philip Jan P. Arenga Joebert M. Villanueva |
| author_facet | Philip Jan P. Arenga Joebert M. Villanueva |
| author_sort | Philip Jan P. Arenga |
| collection | DOAJ |
| description | Objective: To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body.
Methods:
Study Design: Preliminary Diagnostic Test Assessment;
Consecutive Convenience Sample
Setting: Tertiary Government Hospital
Participants, Patients or Population: Soft gel capsule with barium sulfate was pilot tested on patients with a history and diagnosis of radiolucent foreign body ingestion between June 1 and November 30, 2014.
Results: Seven patients (6 males, 1 female; aged 26 – 61 years) underwent the procedure. In all seven, the enhanced capsule immediately stopped above the level of the esophageal foreign body, easily identifying the exact location of the obstruction. Foreign bodies included 1 embryonated duck-egg white “balut”, 5 chunks of pork meat and 1 claspless denture. All were successfully marked by the capsule on fluoroscopy and documented on X-ray. Esophagoscopy under general anesthesia was successfully performed after fluoroscopy in all patients.
Conclusion: We were able to improvise a new medium for use in modified barium esophagograms that was easy to prepare and that rendered good radiographic imaging and localization of radiolucent foreign bodies. A randomized trial in comparison to the prevailing test may confirm our findings further. Meanwhile, we recommend exploring the procedure in other hospitals as an alternative to barium-soaked cotton in the diagnosis of radiolucent esophageal foreign bodies
Keywords: soft gel capsule, barium suphate, esophagogram, esophageal foreign body |
| first_indexed | 2024-12-21T05:37:15Z |
| format | Article |
| id | doaj.art-c1362808a6f449ddbc8a881a9801d990 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-12-21T05:37:15Z |
| publishDate | 2015-06-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-c1362808a6f449ddbc8a881a9801d9902022-12-21T19:14:23ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012015-06-0130110.32412/pjohns.v30i1.397The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign BodyPhilip Jan P. Arenga0Joebert M. Villanueva1Department of Otorhinolaryngology Head and Neck Surgery Western Visayas Medical CenterDepartment of Otorhinolaryngology Head and Neck Surgery Western Visayas Medical CenterObjective: To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body. Methods: Study Design: Preliminary Diagnostic Test Assessment; Consecutive Convenience Sample Setting: Tertiary Government Hospital Participants, Patients or Population: Soft gel capsule with barium sulfate was pilot tested on patients with a history and diagnosis of radiolucent foreign body ingestion between June 1 and November 30, 2014. Results: Seven patients (6 males, 1 female; aged 26 – 61 years) underwent the procedure. In all seven, the enhanced capsule immediately stopped above the level of the esophageal foreign body, easily identifying the exact location of the obstruction. Foreign bodies included 1 embryonated duck-egg white “balut”, 5 chunks of pork meat and 1 claspless denture. All were successfully marked by the capsule on fluoroscopy and documented on X-ray. Esophagoscopy under general anesthesia was successfully performed after fluoroscopy in all patients. Conclusion: We were able to improvise a new medium for use in modified barium esophagograms that was easy to prepare and that rendered good radiographic imaging and localization of radiolucent foreign bodies. A randomized trial in comparison to the prevailing test may confirm our findings further. Meanwhile, we recommend exploring the procedure in other hospitals as an alternative to barium-soaked cotton in the diagnosis of radiolucent esophageal foreign bodies Keywords: soft gel capsule, barium suphate, esophagogram, esophageal foreign bodyhttps://pjohns.pso-hns.org/index.php/pjohns/article/view/397soft gel capsule, barium suphate, esophagogram, esophageal foreign body |
| spellingShingle | Philip Jan P. Arenga Joebert M. Villanueva The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body Philippine Journal of Otolaryngology Head and Neck Surgery soft gel capsule, barium suphate, esophagogram, esophageal foreign body |
| title | The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body |
| title_full | The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body |
| title_fullStr | The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body |
| title_full_unstemmed | The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body |
| title_short | The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body |
| title_sort | use of a soft gel capsule as a medium for modified barium esophagogram in detecting esophageal foreign body |
| topic | soft gel capsule, barium suphate, esophagogram, esophageal foreign body |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/397 |
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