First Year Fellows Endoscopy Course (July 29 - 30)

Video Transcription

Video Summary

In this video, Dr. Danny, an interventional endoscopist at UCLA, discusses the management of foreign bodies and food impactions. He emphasizes the urgency of these cases and the importance of waking up attending physicians for assistance. Dr. Danny highlights the need to determine the location of the foreign body and the appropriate tools to use for removal. He mentions that foreign bodies can be anything from food to glass to other unusual objects, and taking a thorough patient history is crucial. Dr. Danny explains that while 80% of foreign bodies will pass without problem, up to 20% may require intervention such as endoscopy or surgery. He also mentions common complications of foreign body ingestion, such as perforation, abscess formation, and bowel obstruction. Dr. Danny discusses indications for endoscopic removal, including foreign bodies in the esophagus, particularly food impactions, which should be removed within 12 hours. He explains the various tools that can be used for removal, such as forceps, snare, retrieval nets, and baskets. Dr. Danny provides advice on manipulating and protecting the airways during the procedure and discusses the use of an overtube to help with removal and protect the mucosa. He also mentions special considerations for patients with eosinophilic esophagitis, sharp objects, batteries, and magnets, as these can cause serious complications. Overall, Dr. Danny emphasizes the importance of being familiar with available tools and guidelines to effectively manage foreign bodies and food impactions in a timely manner.

Asset Subtitle

Danny Issa, MD

Keywords

foreign bodies

food impactions

management

interventional endoscopist

UCLA