First Year Fellows Endoscopy Course (July 29 - 30) | 2022-11-Foreign

11-Foreign_Body Management

Pdf Summary

This document discusses the management of foreign bodies and food impactions in the GI tract. It highlights the high risk groups for ingesting foreign bodies, such as pediatric age group, edentulous adults, alcoholics, prisoners, and psychiatric patients. The outcomes of ingested foreign bodies are discussed, with pass spontaneously, endoscopy, and surgery being the possible outcomes. Complications of foreign bodies include perforation, mediastinitis, lung abscess, fistula, and aspiration. Common objects ingested by children include coins, toys/magnets, crayons, ball point pen caps, and batteries, while adults commonly ingest food impactions, dentures, and sharp objects. Symptoms and physical examination findings of foreign body ingestion are detailed, as well as radiologic imaging studies that can be used for diagnosis.<br /><br />The document also provides guidelines for the timing and location of endoscopy, as well as choosing the appropriate accessories and ensuring airway protection. It discusses the indications for endoscopic removal of foreign bodies, with sharp/pointed end and esophageal foreign bodies needing urgent removal. Airway precautions and tools for endoscopic removal of foreign bodies are also covered.<br /><br />Specific considerations for esophageal food bolus impaction, eosinophilic esophagitis, sharp and pointed foreign bodies, button batteries, and multiple magnets are discussed. The complications of these foreign bodies, such as esophageal perforation, stricture, tracheal stenosis, and fistula, are outlined.<br /><br />In summary, this document provides a comprehensive overview of the management of foreign bodies and food impactions in the GI tract, including indications for endoscopy, techniques for removal, and potential complications.

Keywords

foreign bodies

food impactions

GI tract

high risk groups

endoscopy

complications

pediatric age group

ingested objects

symptoms

radiologic imaging