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Crying wolf: the danger of recurrent intentional foreign body ingestion
  1. Philip Berry,
  2. Sreelakshmi Kotha
  1. Department of Gastroenterology, Guy's and St Thomas' Hospitals NHS Trust, London, UK
  1. Correspondence to Dr Sreelakshmi Kotha, Guy's and St Thomas' Hospitals NHS Trust, London SE1 9RS, UK; sreelakshmi_kotha{at}

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We read with interest the paper by Yadollahi et al reporting on their experience of intentional foreign body ingestion (iFoBI).1 We would like to highlight the risks of conservative management, an approach with which we are in general agreement and which has been reported elsewhere.2 A patient presented to the emergency department (ED) stating that he had swallowed two button batteries, a razor blade and a quantity of small change. A chest radiograph demonstrated several round opacities in the stomach, consistent with both coins and batteries. The patient was referred to the duty endoscopist, who arranged urgent endoscopy under general anaesthetic (the patient having refused …

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  • Contributors PB and SK contributed to patient care, procedure and writing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.