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

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 that foreign body ingestions and food impactions are true emergencies and require prompt attention. Dr. Danny highlights five important questions to consider when approaching these cases, including when to perform endoscopy and where the foreign body is located. He stresses the importance of taking a thorough history and conducting a physical examination. Dr. Danny mentions that although 80% of foreign bodies will pass without intervention, up to 20% may require endoscopy or surgery. He also discusses indications for endoscopic removal, such as objects in the esophagus, sharp objects, and situations where patients cannot handle their saliva. Dr. Danny explains various tools that can be used for foreign body removal, including forceps, snare, retrieval net, and baskets. He also mentions the use of overtube and highlights special considerations for patients with eosinophilic esophagitis, batteries, and magnets. In summary, Dr. Danny encourages endoscopists to be familiar with the available tools, to recognize potential complications, and to promptly address foreign bodies and food impactions.

Asset Subtitle

Danny Issa, MD

Keywords

foreign bodies

food impactions

management

endoscopy

prompt attention