Related Experiment Video

Updated: Jul 18, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Selective upper endoscopy for foreign body ingestion in children: an evaluation of management protocol after 282

Kenneth K Y Wong1, Christian X Fang, Paul K H Tam

  • 1Department of Surgery, University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong, SAR, China.

Journal of Pediatric Surgery
|December 13, 2006
PubMed

Insights

Selective upper endoscopy is safe for managing pediatric foreign body ingestion. This approach minimizes discomfort and anesthesia needs in children, with no adverse outcomes reported for non-endoscopic cases.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Foreign body ingestion is a frequent occurrence in pediatric patients.
  • Traditional management often involves invasive procedures, leading to patient discomfort and the need for general anesthesia.

Purpose of the Study:

  • To evaluate a novel management protocol for pediatric foreign body ingestion.
  • To assess the safety and efficacy of selectively using upper endoscopy after direct laryngoscopy.
  • To reduce patient discomfort and the requirement for general anesthesia in children.

Main Methods:

  • A symptom-based management protocol for foreign body ingestion was implemented.
  • Retrospective review of medical records for children admitted with suspected foreign body ingestion (1999-2005).
  • Analysis of symptoms, radiological findings, endoscopic results, and patient outcomes.

Main Results:

  • Out of 282 pediatric patients, only 29.8% required upper endoscopy.
  • Fish bones were the most common foreign bodies (68.8%).
  • Endoscopic removal or dislodgement occurred in only 8.8% of patients; all outcomes were uneventful with no complications or readmissions.

Conclusions:

  • Selective upper endoscopy based on symptoms is a safe and effective strategy for pediatric foreign body ingestion.
  • This protocol successfully minimizes invasive procedures and anesthesia requirements.
  • The study supports a less invasive approach for managing children with suspected foreign body ingestion.
Abstract

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...