First Year Fellows Endoscopy Course (August 7 - 8)

Video Transcription

Video Summary

The video is a lecture given by Dr. Danny, an interventional endoscopist at UCLA, on the management of foreign bodies and food impactions. Dr. Danny emphasizes the importance of recognizing foreign body ingestions as true emergencies, alongside acute cholangitis, bowel obstruction, and GI bleeding. He discusses five key questions in managing these cases: when to perform endoscopy, where the foreign body is located, what tools to use for removal, how to protect the airways, and when to consider intervention. Dr. Danny highlights the significance of taking a thorough history and performing a comprehensive examination, especially in pediatric patients who may not recall the ingestion. He stresses the need for prompt removal of foreign bodies in the esophagus and provides insights into the indications for emergent endoscopy. Dr. Danny also discusses various tools and techniques, such as forceps, snare, retrieval net, and overtube, that can be utilized for foreign body removal. He shares considerations for specific cases involving EOE, batteries, magnets, and sharp objects. In conclusion, Dr. Danny recommends familiarizing oneself with the available tools in the endoscopy room and staying updated on guidelines for managing foreign bodies and food impactions.

Asset Subtitle

Danny Issa, MD

Keywords

foreign bodies

food impactions

management

endoscopy

emergency