Distal oesophagus food impaction removal with a rigid endoscope using an inflatable shoulder roll: A technical case report

Background: Rigid esophagoscopy is commonly performed by otolaryngologists, both for the workup of patients with head and neck squamous cell carcinoma and in case of a foreign body or food impaction. Because of the natural S-shaped curve of the spine, one has to elevate the torso to align the oral cavity and the distal third of the oesophagus, thereby allowing the rigid scope to progress in an atraumatic manner. Methods: This paper describes using an inflatable shoulder roll as a straightforward and safe technique to remove a food impaction in the distal third of the oesophagus using a rigid endoscope. Results: Case presentation and step-wise technical explanation are provided Conclusion: By using this technique, rigid oesophagoscopy can be used in the distal third of the oesophagus.