ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist | October 2021-Foreign Bodies and Food Impactions

Video Transcription

Video Summary

Dr. Christie discusses the management of foreign bodies and food impactions in the gastrointestinal tract in a lecture. She begins by noting that foreign body ingestion often occurs accidentally in children, mentally altered individuals, and those with psychiatric disorders. Obstruction and perforation can occur, particularly at areas of angulation in the GI tract. Esophageal food impactions are commonly caused by benign pathologies, such as strictures or webs, and are often seen in patients with surgical alterations or eosinophilic esophagitis. The incidence of foreign body ingestion in the United States is estimated to be 120,000 cases annually. Endoscopy is the most common intervention, with about 10-20% of cases requiring it. Dr. Christie discusses the appropriate timing for endoscopic removal based on the type of object and emphasizes the importance of collaboration between different medical specialties during the procedure. She also highlights the use of various tools and techniques to extract foreign bodies, including radiology, pharmacological agents, flexible and rigid scopes, baskets, snares, and over tubes. Special considerations are given to patients with underlying conditions such as eosinophilic esophagitis and the risk of esophageal tears and perforations. The lecture concludes with a discussion on the use of balloon enteroscopy for small bowel foreign bodies and key take-home tips for managing foreign body ingestions. No credits were mentioned in the video.

Asset Subtitle

Jennifer A. Christie, MD, FASGE

Keywords

foreign bodies

food impactions

gastrointestinal tract

endoscopy

collaboration

esophageal tears