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Ann Thorac Surg 2003;76:1276-1278
© 2003 The Society of Thoracic Surgeons

Case report

Weerda diverticuloscope: novel use to remove embedded esophageal foreign bodies

John C. Kucharczuk, MDa*, Larry R. Kaiser, MDa, M. Blair Marshall, MDa

a Division of Thoracic Surgery, Hospital of the University of Pennsylvania and Philadelphia Veterans Hospital, Philadelphia, Pennsylvania, USA

Accepted for publication March 3, 2003.

* Address reprint requests to Dr Kucharczuk, Division of Thoracic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA
e-mail: john.kucharczuk{at}uphs.upenn.edu

Embedded sharp foreign bodies of the cervical esophagus represent a clinical challenge. Initial attempts at removal are usually undertaken by nonsurgical endoscopists who are often successful with blunt objects. Unsuccessful attempts with sharp objects, however, can result in distal migration, mucosal damage, and frank perforation. Thoracic surgeons are often called on for cervical esophagotomy after endoscopic attempts have failed. This report describes the novel use of a Weerda diverticuloscope for removal of a dental appliance with metallic hooks embedded in the cervical esophagus.






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