A THREE-YEAR AUDIT OF RIGID OESOPHAGOSCOPY AT LADY READING HOSPITAL PESHAWAR

Asif Nadeem, Aamir Bilal, Kamal Afridi, Muqeet ullah

Abstract


Background: The number of oesophagoscopies performed annually provides an indication of the
extent of oesophageal disorders in any particular setting. The present study aimed to provide such
data for rigid oesophagoscopy at the only referral centre for this procedure in Peshawar.
Methodology: An audit of all available records of patients undergoing rigid oesophagoscopies
from January 2002 to December 2004, at the Lady Reading Hospital Peshawar was performed.
Results: A total of 200 cases of rigid oesophagoscopies were performed during this three-year
period of study. The ages of patients ranged from 1 to 90 years, with a two fold male
preponderance. The main indication was dysphagia, with major causes being oesophageal
carcinoma (115, 57.5%), reflux oesophagitis (56, 28%), strictures of various aetiologies (19, 9.5%)
and foreign bodies (10, 5%). Successful dilatation was possible in 70% of cases; the morbidity rate
was 4.5% due to perforation observed in 9 cases. The mortality rate was 1.5% due to septicemia in
3 cases. Conclusion: A high rate of rigid oesophagoscopies was observed indicating an increased
frequency of oesophageal disorders in this setting. The morbidity and mortality rates observed are
within acceptable ranges for this procedure.
Key Words: Dysphagia, Oesophageal Carcinoma, Peptic Stricture, Oesophageal Perforation,
Oesophagoscopy

References


Brusis T, Luckhaupt H. History of esophagoscopy.

Laryngorhinootologie 1991; 70(2): 105-8.

Lallemant Y. Progress in oesophagoscopy. The role of the

conventional oesophagoscope as against the supple fibroscope.

Ann Otolaryngol Chir Cervicofac 1980; 97(10-11): 845-56.

Bingham BJ, Drake-Lee A, Chevretton E, White A. Pitfalls in

the assessment of dysphagia by fibreoptic oesophagogastroscopy. Ann R Coll Surg Engl 1987; 69(1): 22-3.

Khan MA, Hameed A, Choudhry AJ. Management of foreign

bodies in the esophagus. J Coll Physicians Surg Pak 2004;

(4): 218-20.

Shinhar SY, Strabbing RJ, Madgy DN. Esophagoscopy for

removal of foreign bodies in the pediatric population. Int J

Pediatr Otorhinolaryngol 2003; 67(9): 977-9.

Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N.

Management of esophageal foreign bodies: a retrospective

review of 400 cases. Eur J Cardiothorac Surg 2002; 21(4): 653-

Ritchie AJ, McManus K, McGuigan J, Stevenson HM,

Gibbons JR. The role of rigid oesophagoscopy in

oesophageal carcinoma. Postgrad Med J 1992; 68(805):

-5.

Ritchie AJ, McGuigan J, McManus K, Stevenson HM,

Gibbons JR. Diagnostic rigid and flexible oesophagoscopy

in carcinoma of the oesophagus: a comparison. Thorax

; 48(2): 115-8.

Barkin JS, Taub S, Rogers AI. The safety of combined

endoscopy, biopsy and dilation in esophageal strictures.

Am J Gastroenterol 1981; 76(1): 23-6.

Scolapio JS, Pasha TM, Gostout CJ, Mahoney DW,

Zinmeister AR, Ott BJ et al. A randomized prospective

study comparing rigid to balloon dilators for benign

oesophageal strictures and rings. Gastrointest Endosc

; 50(1): 13-7.

Glaws WR, Etzkorn KP, Wenig BL, Zulfiqar H, Wiley

TE, Watkins JL. Comparison of rigid and flexible

esophagoscopy in the diagnosis of esophageal disease:

diagnostic accuracy, complications, and cost. Ann Otol

Rhinol Laryngol 1996; 105(4): 262-6.

Alberty J, Muller C, Stoll W. Is the rigid hypopharyngoesophagoscopy for suspected foreign body impaction still

up to date? Laryngorhinootologie 2001; 80(11): 682-6.

Walshe P, Rowley H, Hone S, Fenton J, Byrne P, Timon

C. Is reflux noted at diagnostic rigid oesophagoscopy

clinically significant? J Laryngol Otol 2001; 115(7): 552-

Navarro B JR, del Cuvillo BA, Alonso PE. Esophageal

foreign bodies. Our ten years of experience. Acta

Otorrinolaringol Esp 2003; 54(4): 281-5.

Manara G, Pisano G, Spasiano G, Pozzoni C. Extraction

of foreign bodies with rigid oesophagoscopy: personal

experience. Acta Otorhinolaryngol Ital 1994; 14(1): 59-62.

Herranz-Gonzalez J, Martinez-Vidal J, Garcia-Sarandeses

A, Vazquez-Barro C. Esophageal foreign bodies in adults.

Otolaryngol Head Neck Surg 1991; 105(5): 649-54.

Uba AF, Sowande AO, Amusa YB, Ogundoyin OO,

Chinda JY, Adeyemo AO, Adejuyigbe O. Management of

oesophageal foreign bodies in children. East Afr Med J

; 79(6): 334-8.

Mahafza T, Batieha A, Suboh M, Khrais T. Esophageal

foreign bodies: a Jordanian experience. Int J Pediatr

Otorhinolaryngol 2002; 64(3): 225-7.

Eastman MC, Sali A. Modern treatment of oesophageal

strictures. Med J Aust 1980; 1(3): 129-30.

Kubba H, Spinou E, Brown D. Is same-day discharge

suitable following rigid esophagoscopy? Findings in a

series of 655 cases. Ear Nose Throat J 2003; 82(1): 33-6.


Refbacks

  • There are currently no refbacks.


Contact Number: +92-992-382571

email: [jamc] [@] [ayubmed.edu.pk]