Innovative Laser Use for Esophageal Foreign Body Removal

Doctors at Delhi’s Sir Ganga Ram Hospital recently performed a groundbreaking endoscopic denture removal using an advanced laser cutter. This procedure successfully extracted a dental prosthesis lodged deep within a man's upper esophagus. Consequently, the medical team helped the patient avoid high-risk open surgery after he accidentally swallowed his denture. Furthermore, the case highlights the evolving role of laser technology in gastroenterology.

Advanced Endoscopic Denture Removal Technique

The patient presented with severe respiratory distress and throat pain. Additionally, imaging studies showed that the sharp metallic clasps of the denture were firmly lodged in the esophageal lining. Therefore, conventional extraction methods like using forceps or a snare carried a high risk of tearing the tissue. Because of this danger, the doctors chose a more precise alternative. Specifically, they utilized a laser beam to fragment the denture under endoscopic guidance. This strategy allowed them to break the prosthesis into smaller, manageable pieces.

Ensuring Safety During Extraction

To protect the patient during the process, the team inserted a protective overtube. This device shielded the esophagus from the sharp edges of the fragmented denture. Subsequently, each piece was safely extracted without causing further trauma. Moreover, this approach significantly reduced the morbidity associated with traditional surgical interventions. Currently, the patient has recovered well, demonstrating the effectiveness of this minimally invasive method. This case serves as a vital example for managing complex foreign body ingestions.

Frequently Asked Questions

Q1: Why was a laser needed for this procedure?

A1: The laser allowed doctors to break the large, sharp-edged denture into smaller fragments. Consequently, they could remove the pieces safely through a protective tube without tearing the esophageal wall.

Q2: What are the symptoms of an impacted foreign body in the esophagus?

A2: Patients often experience difficulty swallowing, throat pain, and significant chest discomfort. Additionally, some may face respiratory distress if the object compresses the windpipe.

Disclaimer: This content is for informational and educational purposes only. It does not constitute medical advice or replace professional judgment. Refer to the latest local and national guidelines for clinical practice.

References

1. Delhi doctors remove denture stuck in man's food pipe using laser cutter - ETHealthworld


2. Geng, J., et al. (2023). Management of esophageal foreign bodies: A review of endoscopic techniques. Journal of Digestive Endoscopy.


3. Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). (2021). Guidelines for the Management of Ingested Foreign Bodies.