The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body

Authors

  • Philip Jan P. Arenga Department of Otorhinolaryngology Head and Neck Surgery Western Visayas Medical Center
  • Joebert M. Villanueva Department of Otorhinolaryngology Head and Neck Surgery Western Visayas Medical Center

DOI:

https://doi.org/10.32412/pjohns.v30i1.397

Keywords:

soft gel capsule, barium suphate, esophagogram, esophageal foreign body

Abstract

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

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Published

2015-06-30

How to Cite

1.
Arenga PJP, Villanueva JM. The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body. Philipp J Otolaryngol Head Neck Surg [Internet]. 2015 Jun. 30 [cited 2024 Mar. 28];30(1):59-62. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/397

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