ArticleSurgical endoscopy2024
The safety and efficacy of endoscopic submucosal fenestration in the treatment of completely embedded upper gastrointestinal foreign body.
Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Endoscopic treatment outcomes for foreign body extraction from alimentary tract: a 15-year experience of 1,162 cases in Southern China.Frontiers in medicine · 2026Article
- Thoracoscopic retrieval of a rare migrated fish bone in the thorax: a case report with sequential CT evidence and literature review.Journal of cardiothoracic surgery · 2025Review
- A rare case of submucosal foreign body in the duodenal bulb.Endoscopy · 2025Article
- [Upper Gastrointestinal Foreign Body Removal].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025Review
- Endoscopic treatment for complicated gastric antral-embedded foreign bodies: reflection and retrospection.Gastroenterology report · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundUpper gastrointestinal foreign body ingestion is a common digestive tract emergency, of which completely embedded ones were challenging for most endoscopists. We aim to evaluate the efficacy and safety of endoscopic submucosal fenestration in the treatment of completely embedded upper gastrointestinal foreign bodies.
methodsFrom December 2018 to December 2021, 19 patients with completely embedded upper gastrointestinal foreign bodies who underwent endoscopic submucosal fenestration in Zhongshan Hospital, Fudan University were included. The safety, efficacy, and outcome were retrospectively reviewed.
resultsAmong the 19 patients, 15 foreign bodies were embedded in the esophagus, 3 located in the gastric wall, and 1 located in the duodenal bulb. The foreign bodies were successfully managed in 12 cases, and 7 failed after attempts of repeated exploration. Two cases confirmed completely traversing into the mediastinum were successfully removed after transfer to surgery. One case had retrieval of a foreign body in a half-year examination. Till now, 3 failed patients had great relief of symptoms and only one patient claimed occasional thoracodynia. Of note, there were neither serious adverse events, nor long-term complications during the follow-up.
conclusionIn disposing of foreign bodies completely embedded in the upper gastrointestinal tract, ESF is a safe and effective alternative to surgery.
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Registered trials
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