Foreign object ingestion and esophageal food impaction: An update and review on endoscopic management

Figure 4 Esophageal food impaction removal. A 48-year-old man in whom attempted extraction of an esophageal food impaction had failed at an outside emergency department was emergently referred to our institution for further management. Endoscopic examination revealed a boneless meat bolus lodged in the mid-esophagus. A: A tract in the center of the bolus was made using a bipolar coagulation probe; B, C: Next, an Ovesco triprong anchor was deployed in the tract (B), and the meat bolus was extracted in one piece (C). D: Mucosal changes including a ringed esophagus, longitudinal furrows, and small-caliber esophagus were found (D), and mucosal biopsies demonstrated evidence of underlying eosinophilic esophagitis[103].