First Year Fellows Endoscopy Course (July 31 - August 1)

11-Foreign_Body Management

Pdf Summary

This document provides an overview of the management of foreign bodies and food impactions in the gastrointestinal (GI) tract. The document starts by discussing the risks and complications associated with foreign bodies, including the fact that 1500 people die annually from this condition. Risk factors include being in the pediatric age group, being edentulous, having eosinophilic esophagitis, being an alcoholic, being a prisoner, or being a psychiatric patient.<br /><br />The document then describes the common objects that are ingested, such as coins, toys, crayons, pen caps, batteries, food, bones, and dentures. It also outlines the symptoms and physical examination findings that may suggest the presence of a foreign body in the GI tract.<br /><br />Radiologic studies, such as chest X-ray and chest CT, are discussed as tools to determine the location and potential complications of foreign bodies. The document also highlights the anatomical landmarks in the GI tract that foreign bodies may impact.<br /><br />Indications for endoscopic removal of foreign bodies are presented, such as the presence of respiratory distress or pain. The document also emphasizes the importance of airway precautions, especially in children, mentally ill patients, and uncooperative patients.<br /><br />Various tools and techniques for endoscopic removal of foreign bodies, such as grasping forceps, retrieval nets, and overtubes, are discussed. The document specifically addresses the management of esophageal food bolus impaction and provides guidelines for safe extraction.<br /><br />Lastly, the document mentions the specific considerations for sharp and pointed foreign bodies, button batteries, and multiple magnets. It also summarizes the key points, such as recognizing indications for urgent endoscopy, planning the strategy before endoscopy, and protecting the airway during the procedure.

Keywords

foreign bodies

food impactions

gastrointestinal tract

risks

complications

ingested objects

endoscopic removal

radiologic studies

airway precautions

safe extraction