Les corps etrangers œsophagiens: caractéristiques épidémiologique, diagnostique et thérapeutique, au service d’orl de l’hôpital National De Niamey

Objective: To describe the epidemiological, clinical, diagnostic and therapeutic aspects of esophageal foreign bodies in the ENT department and head and neck surgery of the Niamey National Hospital in Niger. Material and Method: From January 2013 to December 31, 2018, we analyzed the epidemiological, clinical, diagnostic and therapeutic aspects of esophageal foreign bodies through a retrospective and descriptive study. Results: In 6 years, 247 cases of esophageal foreign bodies have been recorded. Non-food foreign bodies accounted for 84% of cases (with 71.2% of coins) and 16% of foreign food bodies (7.8% of meat). Rigid esophagoscopy under general anesthesia was performed in all patients and allowed the extraction of all foreign bodies. At oesophagoscopy, the esophageal mucosa was normal in 72.8% (n = 214) of cases, inflammatory in 24.1% (n = 71) and infected in 1.7% (n = 5). The foreign body was blocked in the esophageal mouth in 69.97% (n = 206), in the aortobronchial narrowing of the esophagus in 6.14% (n = 18), and in the lower sphincter of the esophagus. the esophagus in 3.41% (n = 10). The follow-up was simple in 267 patients (90.82%) and complicated in the other 27 (9.18%). 9.18% of cases of complications were found. Operative mortality was zero. Conclusion: Esophageal foreign bodies are common in ENT. The diagnosis is clinical but especially paraclinical based on endoscopy which is also the main treatment.