Health Questions and Answers

Archive for the 'Foreign Bodies' Category

Question: Where do esophageal foreign bodies usually lodge?

Thursday, September 20th, 2007

Answer: Over 90% below the level of the cricopharyngeal muscle. The four most common areas are: At the level of the cricopharyngeal muscle At the level of the aortic arch and left mainstem bronchus At the esophageal gastric junction At pathologic sites of narrowing such as Zenker’s diverticulum and esophageal strictures

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Question: What is the immediate concern or threat to life in a patient with an esophageal foreign body?

Wednesday, September 19th, 2007

Answer: To ensure that the airway is clear and that the foreign body is not in the upper airway or trachea To rule out esophageal perforation, which is evidenced by presence of fever, subcutaneous air, severe chest pain on physical examination, pneumomediastinum on chest x-ray, or soft tissue air  on neck films.

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