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Management of ingested foreign objects and food bolus impactions
1Hospital of the University of Pennsylvania, Gastroenterology Division, Philadelphia 19104, USA.
Gastrointestinal Endoscopy
|January 1, 1995
Summary
This review guides clinicians on managing foreign object ingestion and food bolus impaction in children and adults. It emphasizes large case series due to limited prospective trial data for effective patient care.
Area of Science:
- Gastroenterology
- Medical Management
- Clinical Practice Guidelines
Background:
- Foreign object ingestion and food bolus impaction are common clinical challenges.
- Effective evaluation and management strategies are crucial for patient outcomes.
Purpose of the Study:
- To provide clinicians with a comprehensive guide for managing foreign object ingestion and food bolus impaction.
- To synthesize current knowledge based on available literature and expert consensus.
Main Methods:
- A comprehensive literature search was conducted using Medline (MEDLARS II) in June 1993.
- English-language articles from gastroenterology, otolaryngology, general surgery, and radiology were reviewed.
- Emphasis was placed on large case series due to a lack of prospective trials.
Main Results:
- The review synthesizes findings from 181 retrieved citations.
- Key data from large series were prioritized for clinical applicability.
- Expert review and critical feedback were incorporated from the American Society for Gastrointestinal Endoscopy.
Conclusions:
- Clinicians can use this review for evaluating and managing foreign object ingestion and food bolus impaction.
- The findings highlight the importance of large case series in guiding clinical practice.
- This work provides a foundation for evidence-based management in this patient population.