Title: Non-Foreign Body-Associated Risk Factors for Complications Associated with
Esophageal Foreign-Body Removal and Timing of Endoscopic Treatment: A Single-Center
Retrospective Study
Version: 1 Date: 13 Oct 2024
Reviewer's report:
I congratulate the authors for this wonderful study. However, I will make contributions and
criticisms on some points.
1) In line 243, I observe that 21.7% of the patients applied after 24 hours of the complaint.
You stated that the reasons for late application were that they applied to another center first and
observed themselves at home. How many of the patients applied late because they observed
themselves at home? Did they make any attempts to remove the foreign body at home during
the period they observed themselves (trying to remove the foreign body by vomiting)?I think
that such a situation may increase the risk of developing complications.
2) How were the cognitive functions and cooperation of the patients? Did you have any mentally
retarded patients? Among the reasons for late presentation, could the foreign body in the
esophagus have been recognized late because the patients did not take care of their own self-
care? In fact, mental retardation and/or poor cognitive function of the patient may be a risk factor
for complications independent of the foreign body. And if you have such patients, I think that it
would enrich your article if you include this in the discussion section. I think this publication,
which was recently published this year, may contribute to you.
(Topaloglu O, K#l#c KN, Karapolat S, Ayd#n Y, Turkyilmaz A, Taslak Sengul A, Eroglu A,
Basoglu A. Diagnosis, treatment, and management of esophageal foreign bodies in patients with
mental retardation: A retrospective study from three centers. Turk Gogus Kalp Damar Cerrahisi
Derg. 2024 Apr 30;32(2):179-184. doi: 10.5606/tgkdc.dergisi.2024.25724. PMID: 38933315;
PMCID: PMC11197419.)
3) When I evaluated Table 2, I did not see the Department of Thoracic Surgery. Have you had
any foreign body experience with rigid esophagoscopy? Have you referred any cases to the
Thoracic Surgery department for primary repair of esophageal perforations? If yes, I would like
you to share the numbers if possible.
4)  In Table 2, in the Seniority of physician section, are the numbers you give for seniority
the number of complications developed? Or are they the number of cases performed? If it is
only the number of cases, it would be useful to include the number of complications. Could the
junior endoscopist be the reason for the high number of complications during early nights, late
nights and vacation times? If possible, it would be more effective and explanatory to indicate
the seniority of physician during these periods.
Best regards
Title: Non-Foreign Body-Associated Risk Factors for Complications Associated with
Esophageal Foreign-Body Removal and Timing of Endoscopic Treatment: A Single-Center
Retrospective Study
Version: 1 Date: 13 Oct 2024
Reviewer's report:
I congratulate the authors for this wonderful study. However, I will make contributions and
criticisms on some points.
1) In line 243, I observe that 21.7% of the patients applied after 24 hours of the complaint.
You stated that the reasons for late application were that they applied to another center first and
observed themselves at home. How many of the patients applied late because they observed
themselves at home? Did they make any attempts to remove the foreign body at home during
the period they observed themselves (trying to remove the foreign body by vomiting)?I think
that such a situation may increase the risk of developing complications.
2) How were the cognitive functions and cooperation of the patients? Did you have any mentally
retarded patients? Among the reasons for late presentation, could the foreign body in the
esophagus have been recognized late because the patients did not take care of their own self-
care? In fact, mental retardation and/or poor cognitive function of the patient may be a risk factor
for complications independent of the foreign body. And if you have such patients, I think that it
would enrich your article if you include this in the discussion section. I think this publication,
which was recently published this year, may contribute to you.
(Topaloglu O, K#l#c KN, Karapolat S, Ayd#n Y, Turkyilmaz A, Taslak Sengul A, Eroglu A,
Basoglu A. Diagnosis, treatment, and management of esophageal foreign bodies in patients with
mental retardation: A retrospective study from three centers. Turk Gogus Kalp Damar Cerrahisi
Derg. 2024 Apr 30;32(2):179-184. doi: 10.5606/tgkdc.dergisi.2024.25724. PMID: 38933315;
PMCID: PMC11197419.)
3) When I evaluated Table 2, I did not see the Department of Thoracic Surgery. Have you had
any foreign body experience with rigid esophagoscopy? Have you referred any cases to the
Thoracic Surgery department for primary repair of esophageal perforations? If yes, I would like
you to share the numbers if possible.
4)  In Table 2, in the Seniority of physician section, are the numbers you give for seniority
the number of complications developed? Or are they the number of cases performed? If it is
only the number of cases, it would be useful to include the number of complications. Could the
junior endoscopist be the reason for the high number of complications during early nights, late
nights and vacation times? If possible, it would be more effective and explanatory to indicate
the seniority of physician during these periods.
Best regards
Please review this paper.
user
Title: Non-Foreign Body-Associated Risk Factors for Complications Associated with
Esophageal Foreign-Body Removal and Timing of Endoscopic Treatment: A Single-Center
Retrospective Study
Version: 1 Date: 13 Oct 2024
Reviewer's report:
I congratulate the authors for this wonderful study. However, I will make contributions and
criticisms on some points.
1) In line 243, I observe that 21.7% of the patients applied after 24 hours of the complaint.
You stated that the reasons for late application were that they applied to another center first and
observed themselves at home. How many of the patients applied late because they observed
themselves at home? Did they make any attempts to remove the foreign body at home during
the period they observed themselves (trying to remove the foreign body by vomiting)?I think
that such a situation may increase the risk of developing complications.
2) How were the cognitive functions and cooperation of the patients? Did you have any mentally
retarded patients? Among the reasons for late presentation, could the foreign body in the
esophagus have been recognized late because the patients did not take care of their own self-
care? In fact, mental retardation and/or poor cognitive function of the patient may be a risk factor
for complications independent of the foreign body. And if you have such patients, I think that it
would enrich your article if you include this in the discussion section. I think this publication,
which was recently published this year, may contribute to you.
(Topaloglu O, K#l#c KN, Karapolat S, Ayd#n Y, Turkyilmaz A, Taslak Sengul A, Eroglu A,
Basoglu A. Diagnosis, treatment, and management of esophageal foreign bodies in patients with
mental retardation: A retrospective study from three centers. Turk Gogus Kalp Damar Cerrahisi
Derg. 2024 Apr 30;32(2):179-184. doi: 10.5606/tgkdc.dergisi.2024.25724. PMID: 38933315;
PMCID: PMC11197419.)
3) When I evaluated Table 2, I did not see the Department of Thoracic Surgery. Have you had
any foreign body experience with rigid esophagoscopy? Have you referred any cases to the
Thoracic Surgery department for primary repair of esophageal perforations? If yes, I would like
you to share the numbers if possible.
4)  In Table 2, in the Seniority of physician section, are the numbers you give for seniority
the number of complications developed? Or are they the number of cases performed? If it is
only the number of cases, it would be useful to include the number of complications. Could the
junior endoscopist be the reason for the high number of complications during early nights, late
nights and vacation times? If possible, it would be more effective and explanatory to indicate
the seniority of physician during these periods.
Best regards
assistant