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Updated: Aug 20, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Treatment and complications of oesophagic foreign bodies]
M González Pena1, M D Martínez Novoa, E Masgoret Palau
1Hospital Universitario Joan XXIII, Tarragona.
Objective:
Revision of characteristics and diagnosis methods and treatment of foreign bodies (FB) embed in the oesophagus (OFB).
Method:
We have realized a retrospective study since 1994 to 2002, with 77 cases with suspicion of ingestion of the (OFB) treated in our ENT Service.
Results:
We realized a total of 83 oesophagoscopies, flexible and rigid, that reaveled the oesophagic superior third, as the most common place of embedding, dysphagia as the most predominant symptom and coins and bones as the most common type of FB. Most of the cases did not present any kind of complications, but we present a case of death.
Conclusions:
The oesophagoscopies are a very useful method conditioned by the kind of FB and experience of the surgeon. We must not subestimate the complications of the embedding of the OFB, because they can be mortals, although they are.
Insights
This study reviewed esophageal foreign bodies (OFB), finding coins and bones most common. While often uncomplicated, OFB ingestion can lead to severe outcomes, including death.
Area of Science:
- Otolaryngology
- Gastroenterology
- Pediatric Medicine
Background:
- Foreign bodies (FB) in the esophagus (OFB) are a common clinical challenge.
- Effective diagnosis and management are crucial to prevent complications.
Observation:
- A retrospective study analyzed 77 cases of suspected OFB ingestion between 1994 and 2002.
- 83 oesophagoscopies (flexible and rigid) were performed to identify and remove OFBs.
Findings:
- The upper third of the esophagus was the most frequent site for FB impaction.
- Dysphagia was the predominant symptom reported by patients.
- Coins and bones were the most common types of ingested foreign bodies.
Implications:
- Oesophagoscopy is a valuable diagnostic and therapeutic tool for OFB removal.
- The surgeon's experience and the nature of the FB influence procedure success.
- Esophageal foreign body impaction carries a risk of fatal complications and should not be underestimated.
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