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Foreign bodies and caustic lesions.

Xavier Dray1, Pierre Cattan

  • 1Sorbonne Paris Cité Paris 7, University, Paris, France; APHP, Lariboisière Hospital, Department of Gastroenterology, Paris, France.

Best Practice & Research. Clinical Gastroenterology
|October 29, 2013
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Summary
This summary is machine-generated.

Most foreign body ingestions pass naturally, but endoscopy is crucial for specific cases, achieving 95% success. Underlying conditions like eosinophilic esophagitis require investigation after food bolus impaction.

Keywords:
Caustic lesionsColoplastyEndoscopyForeign body

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Area of Science:

  • Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body ingestions, food bolus impactions, and caustic agent injuries are common gastrointestinal emergencies.
  • While most foreign bodies pass spontaneously, specific situations necessitate prompt endoscopic intervention.

Purpose of the Study:

  • To outline the indications and critical factors for endoscopic management of foreign body ingestions and related gastrointestinal emergencies.
  • To describe the multidisciplinary approach for managing corrosive agent injuries and long-term sequelae.

Main Methods:

  • Review of endoscopic management strategies for foreign bodies and food bolus impactions.
  • Analysis of treatment protocols for corrosive agent ingestion, including conservative and surgical options.
  • Discussion of long-term management for esophageal injuries, including reconstruction and stricture management.

Main Results:

  • Endoscopic treatment is successful in approximately 95% of patients with foreign body ingestions.
  • Severe complications, such as esophageal perforations, are infrequent.
  • Corrosive agent ingestion requires a multidisciplinary approach, with surgical exploration for severe injuries and reconstruction for long-term strictures.

Conclusions:

  • Recognizing specific indications for endoscopic intervention is vital for successful foreign body management.
  • A multidisciplinary approach is essential for optimizing outcomes in corrosive agent ingestion.
  • Prompt and appropriate management, including endoscopic or surgical intervention and long-term follow-up, improves patient prognosis.