GuidelinesGuideline for the management of ingested foreign bodies
Section snippets
Diagnosis
Older children and fully conscious, communicative adults may be able to identify the material swallowed and point to the location of discomfort. Localization of the level of impaction, however, is often not reliable.26 In many instances the ingestion goes unrecognized or unreported until the onset of symptoms, which may be remote from the time of ingestion.27, 28, 29, 30 Young children, the mentally impaired, or the psychiatrically deranged may present with choking, refusal to eat, vomiting,
General
Once foreign body ingestion is diagnosed, the physician must decide whether or not intervention is necessary, what degree of urgency is called for, and by what means. Management is influenced by the patient's age and clinical condition; the size, shape, and classification of the ingested material; the anatomic location in which the object is lodged; and the technical abilities of the endoscopist.19, 38
The timing of endoscopic intervention in foreign body ingestion is dictated by the perceived
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2023, American Journal of Emergency MedicineCitation Excerpt :Most FBs that reach the GI tract pass through spontaneously. However, 10–20% of patients with FB ingestion require non-operative intervention and ≤1% require a surgical procedure [10]. Dangerous esophageal FBs such as fishbones, animal bones, metal, and dental prosthesis result in endoscopic treatment or serious damage [11-13].
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