Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction
Background and Aims: Foreign body ingestion with submucosal penetration presents a challenging clinical scenario. We present a case of successful endoscopic submucosal dissection (ESD) for removing an embedded fish bone with drainage of an associated submucosal abscess. Methods: A 49-year-old woman...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468448125001079 |
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| author | Abel Joseph, MD Linda Nguyen, MD Joo Ha Hwang, MD, PhD |
| author_facet | Abel Joseph, MD Linda Nguyen, MD Joo Ha Hwang, MD, PhD |
| author_sort | Abel Joseph, MD |
| collection | DOAJ |
| description | Background and Aims: Foreign body ingestion with submucosal penetration presents a challenging clinical scenario. We present a case of successful endoscopic submucosal dissection (ESD) for removing an embedded fish bone with drainage of an associated submucosal abscess. Methods: A 49-year-old woman presented with odynophagia after fish bone ingestion. Computed tomography scan identified a linear density in the upper esophagus. After an initial negative esophagogastroduodenoscopy, a repeat procedure revealed a submucosal abscess. The ESD technique was used to drain the abscess and retrieve the fish bone. Results: The fish bone was successfully removed using ESD technique without immediate or delayed adverse events. Postprocedure management included antibiotics, proton pump inhibitor therapy, and dietary modification. Follow-up esophagram confirmed absence of fistula or abscess. Conclusions: This case demonstrates the importance of careful endoscopic assessment and the utility of ESD technique in managing superficial esophageal abscesses. ESD is a safe and effective technique for removing embedded esophageal foreign bodies within the submucosa. |
| format | Article |
| id | doaj-art-6c4e70a100d945ab930390fb1bdde4ea |
| institution | Kabale University |
| issn | 2468-4481 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj-art-6c4e70a100d945ab930390fb1bdde4ea2025-08-20T03:41:46ZengElsevierVideoGIE2468-44812025-09-0110946046310.1016/j.vgie.2025.04.005Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extractionAbel Joseph, MD0Linda Nguyen, MD1Joo Ha Hwang, MD, PhD2Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California, USADivision of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California, USACorresponding author: Joo Ha Hwang, MD, PhD, Medicine - Med/Gastroenterology and Hepatology, Stanford University, 300 Pasteur Dr, H0268 MC:5244, Stanford, California 94305, USA.; Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California, USABackground and Aims: Foreign body ingestion with submucosal penetration presents a challenging clinical scenario. We present a case of successful endoscopic submucosal dissection (ESD) for removing an embedded fish bone with drainage of an associated submucosal abscess. Methods: A 49-year-old woman presented with odynophagia after fish bone ingestion. Computed tomography scan identified a linear density in the upper esophagus. After an initial negative esophagogastroduodenoscopy, a repeat procedure revealed a submucosal abscess. The ESD technique was used to drain the abscess and retrieve the fish bone. Results: The fish bone was successfully removed using ESD technique without immediate or delayed adverse events. Postprocedure management included antibiotics, proton pump inhibitor therapy, and dietary modification. Follow-up esophagram confirmed absence of fistula or abscess. Conclusions: This case demonstrates the importance of careful endoscopic assessment and the utility of ESD technique in managing superficial esophageal abscesses. ESD is a safe and effective technique for removing embedded esophageal foreign bodies within the submucosa.http://www.sciencedirect.com/science/article/pii/S2468448125001079 |
| spellingShingle | Abel Joseph, MD Linda Nguyen, MD Joo Ha Hwang, MD, PhD Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction VideoGIE |
| title | Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| title_full | Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| title_fullStr | Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| title_full_unstemmed | Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| title_short | Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| title_sort | endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction |
| url | http://www.sciencedirect.com/science/article/pii/S2468448125001079 |
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