To the casuistry of the external section of the esophagus with foreign bodies

There cannot be two opinions on the issue of methods of removing foreign bodies from the esophagus at present. The best way is extraction by means of an esophagoscope. But at the same time, there are cases when even in the hands of experienced specialists, the esophagoscope does not justify the hopes placed on it. So, in the Gakker clinic, in 10% of all cases of extraction of foreign bodies from the esophagus, they were forced to resort to bloody intervention, in the clinic of Prof. Warriors in 23%, according to the statistics of Shem Meg at 508 sl. extraction of foreign bodies in 16 cases (3.2%) required surgical removal, according to Saxen, in 61 cases 3 times (5%). The reason for refusing to use the esophagoscope is the neglect of the case when the edematous, swollen mucous membrane of the esophagus, limiting the field of view of the esophagoscope, is fraught with the danger of rupture. With periesophageal phlegmon, abscess, the external section of the esophagus pursues not only the purpose of extracting a foreign body, but is also a therapeutic intervention, giving a wide flow of pus from the mediastinal space. In the conditions of our reality (the absence of esophagoscopes, specialists), the external section of the esophagus is often the only reliable and safe way to extract foreign bodies from the esophagus and subject to early surgery.