ASGE Annual GI Advanced Practice Provider Course (Virtual) - Clinical Case-based Learning (Day Two)

Video Transcription

Video Summary

The talk focuses on the evaluation and management of ingested foreign bodies, primarily in children and some adults, detailing epidemiological data and key strategies for handling these cases. Over 100,000 cases occur annually in the U.S., mostly accidental and predominantly in children under six, with coins being the most commonly swallowed item. While most ingestions pass without intervention, 10%-20% require endoscopy, and less than 1% necessitate surgery. The discussion outlines common objects and risks, emphasizing urgent management for items like button batteries and multiple magnets due to potential severe complications. Sharp and long objects also pose high perforation risks. Imaging, particularly with x-rays or CT scans, aids diagnosis, but some materials may not be visible. Management includes clear history intake and possibly endoscopic removal, prioritizing airway safety. Body packing and its associated dangers were also discussed. Recommendations align with the ASG guidelines, emphasizing timely, safe intervention approaches.

Asset Subtitle

Sumeet K. Tewani, MD, FASGE

Keywords

foreign body ingestion

children

endoscopy

button batteries

ASG guidelines

body packing