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Updated: May 19, 2026
04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Foreign bodies in the upper gastrointestinal tract].
1Medizinische Klinik, Universität Erlangen-Nürnberg, Deutschland. juergen.maiss@uk-erlangen.de
HNO
|September 5, 2012
Summary
Foreign bodies in the upper gastrointestinal (GI) tract are common, often requiring emergency endoscopy. While endoscopic removal is highly successful, conservative management is sometimes appropriate, depending on the foreign body and obstruction signs.
Area of Science:
- Gastroenterology
- Medical Devices
Context:
- Foreign body ingestion is a significant cause of emergency upper gastrointestinal (GI) endoscopy, accounting for approximately 5% of these procedures.
- While endoscopic removal is the primary treatment and boasts a 99% success rate, conservative management is a viable option for many cases.
- Immediate emergency endoscopy is crucial for esophageal foreign bodies presenting with signs of obstruction, which occur in over 75% of instances.
Purpose:
- To review the management of foreign bodies in the upper GI tract.
- To highlight the indications for immediate endoscopic intervention versus conservative management.
- To discuss the various endoscopic techniques available for foreign body extraction.
Summary:
- Foreign bodies in the upper GI tract necessitate prompt evaluation and management.
- Endoscopic removal is the preferred method, achieving high success rates.
- Conservative management may be suitable for select cases, while esophageal obstruction demands urgent endoscopic intervention due to escalating complication risks.
Impact:
- Provides guidance on appropriate management strategies for upper GI foreign bodies.
- Emphasizes the importance of timely diagnosis and intervention to minimize complications.
- Informs endoscopists about the range of options for safe and effective foreign body removal.
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