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Mahmoud Wahba,Ghada Habib,Ahmed El Mazny,May Fawzi,Mohamed A. Elfeki,Seham Sabry,Mahommad ELbaz,Sayed M Seif El Nasr 대한소화기내시경학회 2019 Clinical Endoscopy Vol.52 No.5
Background/Aims: Food bolus impaction is the most common form of esophageal foreign body impaction observed in adults. Clinicalguidelines recommend using the push technique or retrieval methods in such cases. The push technique can cause injuries in certainclinical situations. Notably, conventional retrieval methods are time and effort consuming. Cap-assisted endoscopic extraction of animpacted food bolus is an easy and effective technique; however, more data are needed for its validation. This study compared the capassistedextraction technique with conventional methods. Methods: This prospective observational multicenter study compared the success and en bloc removal rates, total procedure time, andadverse events in both techniques.. Results: The study included 303 patients who underwent food bolus extraction. The push technique was used in 87 patients (28.7%) anda retrieval procedure in 216 patients (71.3%). Cap-assisted extraction was performed in 106 patients and retrieval using conventionalmethods in 110 patients. The cap-assisted technique was associated with a higher rate of en bloc removal (80.2% vs. 15%, p<0.01), shorterprocedure time (6.9±3.5 min vs. 15.7±4.1 min, p<0.001), and fewer adverse events (0/106 vs. 9/110, p<0.001). Conclusions: Cap-assisted extraction showed no adverse events, higher efficacy, and a shorter procedure time compared withconventional retrieval procedures.