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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2015; 6(03): 96-100
DOI: 10.4103/0976-5042.165689
Review Article
Journal of Digestive Endoscopy

Endoscopic management of ingested foreign bodies and food impaction in esophagus

Bir Singh
Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India
,
Sandeep Nijhawan
Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India
,
Kumar Shwetanshu Narayan
Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India
,
Amritesh Kumar
Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India
› Author Affiliations
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Publication History

Publication Date:
01 October 2019 (online)

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Abstract

Foreign body (FB) in the esophagus is a common emergency presentation in all age groups, especially in children. The immediate risk can range from a minimal one to a life-threatening scenario. Food impactions generally occur when there is altered anatomy (rings, webs or strictures) or motility disorders of the esophagus. The initial management approach includes a thorough history and physical examination followed by radiological investigations. Flexible endoscopy not only confirms the diagnosis but also is the therapeutic modality of choice for removing FBs and relieving the obstruction. This review aims to provide a comprehensive approach towards endoscopic management of esophageal FBs based on current literature and personal experience. The management problems associated with different types of FBs have also been highlighted.

Key words

Endoscopic management - esophagus - food bolus impaction - foreign body
 

  • References

  • 1 Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc 1995;41:39-51.
  • 2 Cheng W, Tam PK. Foreign-body ingestion in children: Experience with 1,265 cases. J Pediatr Surg 1999;34:1472-6.
  • 3 Hachimi-Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: Our experience and review of the literature. Eur J Emerg Med 1998;5:319-23.
  • 4 Panieri E, Bass DH. The management of ingested foreign bodies in children - A review of 663 cases. Eur J Emerg Med 1995;2:83-7.
  • 5 Palta R, Sahota A, Bemarki A, Salama P, Simpson N, Laine L. Foreign-body ingestion: Characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009;69 (3 Pt 1):426-33.
  • 6 Weiland ST, Schurr MJ. Conservative management of ingested foreign bodies. J Gastrointest Surg 2002;6:496-500.
  • 7 Blaho KE, Merigian KS, Winbery SL, Park LJ, Cockrell M. Foreign body ingestions in the emergency department: Case reports and review of treatment. J Emerg Med 1998;16:21-6.
  • 8 Kamal I, Thompson J, Paquette DM. The hazards of vinyl glove ingestion in the mentally retarded patient with pica: New implications for surgical management. Can J Surg 1999;42:201-4.
  • 9 Vizcarrondo FJ, Brady PG, Nord HJ. Foreign bodies of the upper gastrointestinal tract. Gastrointest Endosc 1983;29:208-10.
  • 10 MacManus JE. Perforation of the intestine by ingested foreign bodies. JAMA 1941;53:393-402.
  • 11 Benjamin SB. Small bowel obstruction and the Garren-Edwards gastric bubble: An iatrogenic bezoar. Gastrointest Endosc 1988;34:463-7.
  • 12 Carp L. Foreign bodies in the intestine. Ann Surg 1927;85:575-91.
  • 13 Pellerin D, Fortier-Beaulieu M, Gueguen J. The fate of swallowed foreign bodies experience of 1250 instances of sub-diaphragmatic foreign bodies in children. Prog Pediatr Radiol 1969;2:286-302.
  • 14 Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastroenterol Rep 2005;7:212-8.
  • 15 Waltzman ML, Baskin M, Wypij D, Mooney D, Jones D, Fleisher G. A randomized clinical trial of the management of esophageal coins in children. Pediatrics 2005;116:614-9.
  • 16 Macpherson RI, Hill JG, Othersen HB, Tagge EP, Smith CD. Esophageal foreign bodies in children: Diagnosis, treatment, and complications. AJR Am J Roentgenol 1996;166:919-24.
  • 17 Roura J, Morelló A, Comas J, Ferrán F, Colomé M, Traserra J. Esophageal foreign bodies in adults. ORL J Otorhinolaryngol Relat Spec 1990;52:51-6.
  • 18 Nijhawan S, Shimpi L, Mathur A, Mathur V, Roop Rai R. Management of ingested foreign bodies in upper gastrointestinal tract: Report on 170 patients. Indian J Gastroenterol 2003;22:46-8.
  • 19 Lee JH, Lee JS, Kim MJ, Choe YH. Initial location determines spontaneous passage of foreign bodies from the gastrointestinal tract in children. Pediatr Emerg Care 2011;27:284-9.
  • 20 Ikenberry SO, Jue TL, Anderson MA. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085-91.
  • 21 Connolly AA, Birchall M, Walsh-Waring GP, Moore-Gillon V. Ingested foreign bodies: Patient-guided localization is a useful clinical tool. Clin Otolaryngol Allied Sci 1992;17:520-4.
  • 22 Muñiz AE, Joffe MD. Foreign bodies, ingested and inhaled. JAAPA 1999;12:22-4, 27-8.
  • 23 Yadav R, Mahajan G, Mathur RM. Denture plate foreign body of esophagus. Indian J Thorac Cardiovasc Surg 2008;24:191-4.
  • 24 Takada M, Kashiwagi R, Sakane M. 3D-CT diagnosis for ingested foreign bodies. Am J Emerg Med 2000;18:192-3.
  • 25 Doraiswamy NV, Baig H, Hallam L. Metal detector and swallowed metal foreign bodies in children. J Accid Emerg Med 1999;16:123-5.
  • 26 Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc 1995;41:33-8.
  • 27 Al-Haddad M, Ward EM, Scolapio JS, Ferguson DD, Raimondo M. Glucagon for the relief of esophageal food impaction does it really work? Dig Dis Sci 2006;51:1930-3.
  • 28 Trenkner SW, Maglinte DD, Lehman GA, Chernish SM, Miller RE, Johnson CW. Esophageal food impaction: Treatment with glucagon. Radiology 1983;149:401-3.
  • 29 Maini S, Rudralingam M, Zeitoun H, Osbourne JE. Aspiration pneumonitis following papain enzyme treatment for oesophageal meat impaction. J Laryngol Otol 2001;115:585-6.
  • 30 Loh KS, Tan LK, Smith JD, Yeoh KH, Dong F. Complications of foreign bodies in the esophagus. Otolaryngol Head Neck Surg 2000;123:613-6.
  • 31 Park JH, Park CH, Park JH, Lee SJ, Lee WS, Joo YE, et al. Review of 209 cases of foreign bodies in the upper gastrointestinal tract and clinical factors for successful endoscopic removal. Korean J Gastroenterol 2004;43:226-33.
  • 32 Stringer MD, Capps SN. Rationalising the management of swallowed coins in children. BMJ 1991;302:1321-2.
  • 33 Gmeiner D, von Rahden BH, Meco C, Hutter J, Oberascher G, Stein HJ. Flexible versus rigid endoscopy for treatment of foreign body impaction in the esophagus. Surg Endosc 2007;21:2026-9.
  • 34 ASGE Technology Committee, Tierney WM, Adler DG, Conway JD, Diehl DL, Farraye FA, et al. Overtube use in gastrointestinal endoscopy. Gastrointest Endosc 2009;70:828-34.
  • 35 Simic MA, Budakov BM. Fatal upper esophageal hemorrhage caused by a previously ingested chicken bone: Case report. Am J Forensic Med Pathol 1998;19:166-8.
  • 36 Smith MT, Wong RK. Foreign bodies. Gastrointest Endosc Clin N Am 2007;17:361-82, vii.
  • 37 Faigel DO, Stotland BR, Kochman ML, Hoops T, Judge T, Kroser J, et al. Device choice and experience level in endoscopic foreign object retrieval: An in vivo study. Gastrointest Endosc 1997;45:490-2.
  • 38 Nijhawan S, Rastogi M, Tandon M, Mallikarjun P, Singh V, Mathur A, et al. Magnetic loop basket: A “two-in-one” instrument. Endoscopy 2006;38:723-5.
  • 39 Nijhawan S, Joshi A, Shende A, Agarwal N, Kumar D, Mathur A, et al. Endoscopy-assisted ferromagnetic foreign-body removal with a novel magnetic instrument. Endoscopy 2004;36:1130.
  • 40 Chinitz MA, Bertrand G. Endoscopic removal of toothbrushes. Gastrointest Endosc 1990;36:527-30.
  • 41 Centers for Disease Control and Prevention (CDC). Gastrointestinal injuries from magnet ingestion in children - United States, 2003-2006. MMWR Morb Mortal Wkly Rep 2006;55:1296-300.
  • 42 Namasivayam S. Button battery ingestion: A solution to a management dilemma. Pediatr Surg Int 1999;15:383-4.
  • 43 Beno S, Calello D, Baluffi A, Henretig FM. Pediatric body packing: Drug smuggling reaches a new low. Pediatr Emerg Care 2005;21:744-6.
  • 44 Grimes IC, Spier BJ, Swize LR, Lindstrom MJ, Pfau PR. Predictors of recurrent ingestion of gastrointestinal foreign bodies. Can J Gastroenterol 2013;27:e1-4.