Document Detail


The usefulness of computed tomography in the diagnosis of impacted fish bones in the oesophagus.
MedLine Citation:
PMID:  9659498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The usefulness of computed tomography (CT) in the diagnosis of fish bone impaction in the oesophagus was evaluated. Thirty-two patients were examined by plain X-ray followed by direct oesophagoscopy for suspected fish bone impaction. Among 25 cases in which fish bones were actually removed, foreign bodies were not clearly demonstrated by plain X-ray in 14 cases (56 per cent). Eleven cases underwent CT prior to the oesophagoscopic examination. Fish bones were clearly demonstrated by CT in all patients. CT also clearly visualized secondarily-induced inflammatory changes in the neighbouring structures. In order to confirm this result, we made a simulation model of oesophageal fish bone impaction, using fish bones of three different species surrounded by a water bag. In comparison with plain X-ray, CT depicted a superior image of fine fish bones and provides extremely useful information for the management of impacted fish bones in the oesophagus.
Authors:
K Watanabe; T Kikuchi; Y Katori; H Fujiwara; R Sugita; T Takasaka; S Hashimoto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  112     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-07-29     Completed Date:  1998-07-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  360-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Tohoku University School of Medicine, Sendai, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Animals
Bone and Bones
Esophagus / radiography*
Evaluation Studies as Topic
Female
Fishes
Foreign Bodies / radiography*
Humans
Male
Middle Aged
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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