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Esophageal foreign bodies.

R B Taylor1

  • 1Division of Emergency Medicine, Ohio State University, Columbus.

Emergency Medicine Clinics of North America
|May 1, 1987
PubMed
Summary
This summary is machine-generated.

Most ingested foreign bodies pass harmlessly, but sharp or long objects pose perforation risks. Management of esophageal foreign bodies requires an algorithmic approach for emergency physicians.

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Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Pediatrics

Background:

  • Over 80% of ingested foreign bodies pass spontaneously.
  • Sharp or long foreign bodies are associated with gastrointestinal perforation.
  • Food boluses are common causes of obstruction in adults, especially those over 60 with esophageal pathology.

Purpose of the Study:

  • To review the epidemiology and management of ingested foreign bodies.
  • To identify risk factors for complications.
  • To recommend an algorithmic approach for emergency physicians.

Main Methods:

  • Literature review and data synthesis on foreign body ingestions.
  • Analysis of complications based on foreign body type, location, and duration.
  • Evaluation of treatment modalities.

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Main Results:

  • Sharp/long foreign bodies increase perforation risk.
  • Adults with non-food foreign bodies often have underlying psychiatric or social issues.
  • Pediatric patients most commonly ingest coins; repeat ingestions occur.
  • Fatalities linked to impaction duration and foreign body type.
  • Glucagon and Foley catheter removal are safe in select cases.

Conclusions:

  • An algorithmic approach to esophageal foreign body management is recommended for emergency physicians.
  • Careful consideration of foreign body characteristics and patient factors is crucial.
  • Safe techniques exist but require appropriate skills and equipment.