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Management of foreign body ingestion
Annals of Surgery
|February 1, 1984
Summary
Endoscopic removal effectively treats ingested foreign bodies in the upper airway. Most foreign bodies reaching the stomach pass naturally, minimizing the need for surgery.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Gastrointestinal Endoscopy
Background:
- Ingested foreign bodies (FB) represent a frequent clinical challenge, particularly in pediatric populations.
- A significant number of FB ingestions require medical intervention, necessitating clear management guidelines.
Purpose of the Study:
- To review a decade of experience with foreign body ingestions.
- To evaluate the efficacy and safety of endoscopic removal versus conservative management.
Main Methods:
- Retrospective analysis of 101 cases of foreign body ingestion over a 10-year period.
- Categorization of FB location (cricopharynx, upper esophagus, stomach).
- Assessment of management strategies: endoscopic removal, observation, and surgical intervention.
Main Results:
- Endoscopic removal was curative for FB in the cricopharynx and upper esophagus.
- 80% of FB reaching the stomach passed spontaneously without intervention.
- Only 12% of patients required surgical operation, with no associated mortality.
Conclusions:
- Endoscopic removal is the primary treatment for upper airway FB ingestions.
- Conservative management with observation is appropriate for FB that reach the stomach.
- Surgical intervention for FB ingestion is rarely necessary and can be performed safely.