New Delhi. You must have heard about small children swallowing coins, battery cells in toys, small magnets, drawing pins, etc., which are taken out of the stomach by endoscopic technique but recently In India, a case of doing the same by a 61-year-old man has come to the fore. The elderly accidentally swallowed a tablet containing Aluminum blister Foil but the problem occurred when instead of going into the stomach, the tablet got stuck in the food pipe (esophagus). The patient’s condition worsened as soon as the bullet got stuck in the esophagus. Along with chest pain, the elderly started drooling.

Seeing the deteriorating condition of the elderly patient, he was immediately brought to Sir Gangaram Hospital in Delhi. Where the gastroenterologists of the Institute of Liver, Gastroenterology and Pancreatico-Biliary Sciences (ILGPS) of the hospital were surprised to see. The condition of the patient was so bad that he could not swallow anything. Were spitting again and again. In such a situation, endoscopy was done immediately for the patient.

However, the team of doctors of ILGPS found a new way. Since it was too dangerous to remove or dislodge the aluminum foil directly from the esophagus, the tablet was pushed very slowly towards the stomach with the aluminum foil stuck in the stomach. Dr. Srihari Anikhindi says that this gave doctors enough space to operate specialized equipment. When it was inside the stomach, a hole was pierced in the aluminum foil using a special endoscopic needle and saline was poured under pressure. This dissolved the inside of the tablet and the entire contents came out of the foil into the abdominal cavity. Since the contents of the foil were now empty, it was now possible to fold the aluminum foil back on itself. This reduced the diameter and reversed the dangerous sharp edges.

Eventually using a special accessory called an endoscopic mucosal resection cap attached to the endoscope, we were able to safely take out the folded aluminum foil through the mouth. In the face of a difficult and uncertain situation, it was a pleasure to safely and successfully quickly remove aluminum foil from the esophagus without surgery using a safe and innovative technique.

Professor Anil Arora said that surprisingly, this is the second time we are facing such a case and have been successful using this approach on both the occasions. Such cases were never recorded in the medical literature. Since there is no standardized approach for such rare cases, we had to think out of the box. We were able to safely remove the dangerous aluminum foil from the body while ensuring the safety of the internal organs of the food pipe, stomach and throat. At Sir Ganga Ram Hospital, we have a well-trained, highly skilled team that can handle such difficult situations tactfully.

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Tags: Gangaram Hospital, senior citizen