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Surgical Treatment

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An algorithm for the management of esophageal foreign bodies is shown in Figure 4.9. Table 4.1 summarizes the method of management and its relationship to outcome from a referral population and the current literature.


Figure 4.9 A management algorithm for esophageal foreign bodies. FB, foreign body.

Table 4.1 Published outcome data for esophageal foreign body management.

Method of management Outcome
Retrieval with esophageal forceps Endoscopic guidance: 60/66 retrieved [5] a
Fluoroscopic guidance: 51/61 retrieved [10]
Rigid endoscope: 83/90 retrieved [2]
Transthoracic esophagotomy retrieval after failed forceps manipulation 18/22 recovered, 2 euthanized intraoperatively, 2 diedb
Thoracotomy to repair esophageal perforation 9/14 recovered, 5/14 diedc

a Non‐referral population.

b Data summed from references [8, 10].

c Data summed from references [8, 10, 13].

Small Animal Surgical Emergencies

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