{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T22:26:45Z","timestamp":1794090405913,"version":"4.8.0"},"reference-count":18,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,16]]},"abstract":"<jats:p>Foreign body ingestion is a common event; in the adult population, most ingestions occur in patients with mental disability, psychiatric disorders, alcohol intoxication or in prisoners seeking secondary gain. Removal through flexible endoscopy is generally the first-line approach but rescue oesophagotomy may be necessary for foreign bodies impacted in the upper oesophagus. A 27-year-old man was admitted in the emergency room after intentional ingestion of a wooden spherical object with a central hole. A total body CT scan showed that the object was completely obstructing the upper oesophageal lumen but there were no signs of perforation. In the operating room, a Weerda diverticuloscope and a 5\u2009mm 0\u00b0 telescope were used to visualise the foreign body under general anaesthesia. A standard endoscopic biopsy forceps was passed through the hole of the sphere and was retracted with the jaws open allowing transoral extraction without complications.<\/jats:p>","DOI":"10.1136\/bcr-2018-225241","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T07:56:08Z","timestamp":1530086168000},"page":"bcr-2018-225241","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Unusual foreign body impacted in the upper oesophagus: original technique for transoral extraction"],"prefix":"10.1136","volume":"2018","author":[{"given":"Carlo Galdino","family":"Riva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Angelo Tadd\u00e0us","family":"Toti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Siboni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4880-1670","authenticated-orcid":false,"given":"Luigi","family":"Bonavina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,27]]},"reference":[{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.1","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.bpg.2013.08.009","article-title":"Foreign bodies and caustic lesions","volume":"27","author":"Dray","year":"2013","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/8520767","article-title":"Endoscopic management of foreign bodies in the gastrointestinal tract: a review of the literature","volume":"2016","author":"Bekkerman","year":"2016","journal-title":"Gastroenterol Res Pract"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.3","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1055\/s-2004-825856","article-title":"Removal of a foreign body from the upper gastrointestinal tract with a flexible endoscope: a prospective study","volume":"36","author":"Chaves","year":"2004","journal-title":"Endoscopy"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.4","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-16212"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.5","doi-asserted-by":"crossref","first-page":"8125","DOI":"10.3748\/wjg.v21.i26.8125","article-title":"Risk factors for complications associated with upper gastrointestinal foreign bodies","volume":"21","author":"Hong","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00032-5"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.8","doi-asserted-by":"crossref","first-page":"475","DOI":"10.4253\/wjge.v6.i10.475","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review","volume":"6","author":"Sugawa","year":"2014","journal-title":"World J Gastrointest Endosc"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.05.072"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70274-1"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.11","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1749-7922-9-5","article-title":"Thoracoscopic removal of dental prosthesis impacted in the upper thoracic esophagus","volume":"9","author":"Bonavina","year":"2014","journal-title":"World J Emerg Surg"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.12","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.dld.2011.02.018","article-title":"Factors predictive of risk for complications in patients with oesophageal foreign bodies","volume":"43","author":"Sung","year":"2011","journal-title":"Dig Liver Dis"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.13","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.jemermed.2011.01.030","article-title":"Risk factors for complications after a foreign body is retained in the esophagus","volume":"43","author":"Hung","year":"2012","journal-title":"J Emerg Med"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.14","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4356"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.15","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.110616"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.16","unstructured":"Jackson C , Jackson CL . Disease of the air and food passages of foreign body origin. Philadelphia: WB Saunders, 1937."},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.17","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/S0022-5223(19)43308-4","article-title":"The use of a Foley catheter for removal of blunt foreign bodies from the esophagus","volume":"51","author":"Bigler","year":"1966","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025042705172776000_2018.jun25_1.bcr-2018-225241.18","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1007\/s11605-017-3435-9","article-title":"Respiratory symptoms and complications of zenker diverticulum: effect of trans-oral septum stapling","volume":"21","author":"Siboni","year":"2017","journal-title":"J Gastrointest Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:17:38Z","timestamp":1745756258000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,27]]},"references-count":18,"alternative-id":["10.1136\/bcr-2018-225241"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225241","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,27]]}}}