First Year Fellows Endoscopy Course (August 5 - 6)

Video Transcription

Video Summary

In this video, Dr. Danny, an interventional endoscopist at UCLA, discusses the management of foreign bodies and food impactions in the gastrointestinal tract. He highlights that foreign bodies and food impactions are emergencies that need prompt attention. Key questions to consider when dealing with these cases include when to perform endoscopy, where the foreign body is located, how to remove it, and how to protect the airways. Dr. Danny emphasizes the importance of taking a thorough history and performing a physical examination to determine the nature and location of the foreign body. He mentions that while 80% of foreign bodies will pass on their own, up to 20% require intervention, usually through endoscopy. Complications of foreign body ingestion can include perforation, mediastinitis, and bowel obstruction. Dr. Danny also discusses the tools and techniques available for foreign body removal, including forceps, snares, nets, and baskets. He notes special considerations for patients with eosinophilic esophagitis or those who have swallowed batteries or magnets. In summary, Dr. Danny emphasizes the need for prompt endoscopic removal of foreign bodies in the esophagus and the importance of airway protection during the procedure.

Asset Subtitle

Danny Issa, MD

Keywords

foreign bodies

food impactions

gastrointestinal tract

endoscopy

airway protection