Case 388 Medical history 64-year-old smoker male who underwent subtotal esophagectomy in 2016 due to squamous cell carcinoma (SCC) in the middle thoracic esophagus. Thoracoscopic approach was performed, with esophageal reconstruction with gastric tube through laparotomy and cervicotomy. There were no per or postoperative complications. Three years later, he returned to the service complaining of odynophagia and a feeling of “getting stuck” in the esophagus for about 24 hours. Upper digestive endoscopy was performed for evaluation. Endoscopic view of the esophagus, 25 cm away from the upper dental arch.Endoscopic view of the esophagus, 25 cm away from the upper dental arch. Question:Among the options below, what is the most likely diagnosis for this patient, considering the clinical data and the images presented? Foreign body in the esophagus Idiopathic achalasia of the esophagus Esophageal SCC recurrence Zenker's diverticulum Test question (Endoscopist Medical Exam 2011 - City Hall of Betim / MG) In the case of foreign bodies in the esophagus, it is INCORRECT to state: In children, the most frequent are coins and, in adults, bone and meat The presence of batteries in the esophagus is practically an emergency due to the severity of the injuries that can cause its components Cocaine is the most commonly found drug, usually packaged in plastic packages or in condoms, and its immediate removal is advisable The greatest indication for endoscopic treatment is the appearance of symptoms soon after the ingestion of a foreign body Time is Up! Time's up
