Removal of sharp foreign bodies in the aero-digestive tract may inflict iatrogenic damage to the esophagus, trachea or other vital structures in case of impalement. We describe the ‘Kangaroo’ technique for safe and effective removal of sharp objects from the upper aero-digestive tracts. Index Case 1: 1-year old boy presented to us with an open (un)safety-pin lodged in the upper esophagus. The technique of removal of the pin by the Kangaroo technique, along-with the mechanics of en-pouching the (un)safety-pin has been described. Index Case 2: 8 years old boy presented with accidental aspiration of a razor blade. The removal of the blade from his trachea was executed by the Kangaroo technique. The Kangaroo technique is described for safe endoscopic extraction of sharp foreign body from the aero-digestive tract while protecting the surrounding tissues, to maintain control of the object during extraction and to avoid causing iatrogenic damage by enclosing the foreign body in a ‘kangaroo pouch’. The advantages and limitations of the technique have been discussed. The Kangaroo technique is safe, effective and reproducible way to effect removal of sharp object from the aerodigestive tract while preventing iatrogenic injury to the surrounding organs.
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Conflict of interest
The authors declare that they have no conflict of interest.
Informed written consent has been obtained from all participants included in this study.
Mitra A, Bajpai M (2016) Impacted sharp oesophageal foreign bodies—a novel technique of removal with the paediatric bronchoscope. J Trop Pediatr 62:161–164CrossRefGoogle Scholar
Higo R, Matsumoto Y, Ichimura K, Kaga K (2003) Foreign bodies in the aerodigestive tract in pediatric patients. Auris Nasus Larynx 30:397–401CrossRefGoogle Scholar
Gilyoma JM, Chalya PL (2011) Endoscopic procedures for removal of foreign bodies of aerodigestive tract: The Bugando Medical Centre Experience. BMC Ear Nose Throat Disorders 11:2CrossRefGoogle Scholar
Panda SS, Bajpai M, Singh A, Baidya DK, Jana M (2014) Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre. Afr J Paediatr Surg 11:252–255CrossRefGoogle Scholar
Singh A, Bajpai M, Panda SS, Chand K, Jana M, Ali A (2014) Oesophageal foreign body in children: 15 years experience in a tertiary care paediatric centre. Afr J Paediatr Surg 11:238–241CrossRefGoogle Scholar
Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF et al (2002) Guideline for management of ingested foreign bodies. Gastrointest Endosc 55:802–806CrossRefGoogle Scholar
Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z (2006) Endoscopic management of foreign bodies in the upper GI tract: experience with 1088 cases in China. Gastrointest Endosc 64:485–492CrossRefGoogle Scholar
ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S et al (2011) Management of ingested foreign bodies and food impactions. Gastrointest Endosc 73:1085–1091CrossRefGoogle Scholar