Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article
Gastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2016-05-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341454515001155 |
| _version_ | 1818991479581835264 |
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| author | Pedro Magalhães-Costa Liliana Carvalho José Pedro Rodrigues Maria Ana Túlio Susana Marques Joana Carmo Miguel Bispo Cristina Chagas |
| author_facet | Pedro Magalhães-Costa Liliana Carvalho José Pedro Rodrigues Maria Ana Túlio Susana Marques Joana Carmo Miguel Bispo Cristina Chagas |
| author_sort | Pedro Magalhães-Costa |
| collection | DOAJ |
| description | Gastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10–20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners. On the other hand, food bolus impaction typically occurs in the elderly population with an underlying esophageal pathology. The most serious situations, with higher rates of complications, are associated with prolonged esophageal impaction, ingestion of sharp and long objects, button batteries and magnets. Physicians should recognize early alarm symptoms, such as complete dysphagia, distressed patients not able to manage secretions, or clinical signs of perforation. Although many papers are yearly published regarding this subject, our knowledge is mainly based on case-reports and retrospective series. Herein, the authors summarize the existing evidence and propose an algorithm for the best approach to FB ingestion. |
| first_indexed | 2024-12-20T20:10:55Z |
| format | Article |
| id | doaj.art-410dc137606241d19d881def1f6fb558 |
| institution | Directory Open Access Journal |
| issn | 2341-4545 |
| language | English |
| last_indexed | 2024-12-20T20:10:55Z |
| publishDate | 2016-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-410dc137606241d19d881def1f6fb5582022-12-21T19:27:49ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452016-05-0123314215210.1016/j.jpge.2015.09.002Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review ArticlePedro Magalhães-CostaLiliana CarvalhoJosé Pedro RodriguesMaria Ana TúlioSusana MarquesJoana CarmoMiguel BispoCristina ChagasGastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10–20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners. On the other hand, food bolus impaction typically occurs in the elderly population with an underlying esophageal pathology. The most serious situations, with higher rates of complications, are associated with prolonged esophageal impaction, ingestion of sharp and long objects, button batteries and magnets. Physicians should recognize early alarm symptoms, such as complete dysphagia, distressed patients not able to manage secretions, or clinical signs of perforation. Although many papers are yearly published regarding this subject, our knowledge is mainly based on case-reports and retrospective series. Herein, the authors summarize the existing evidence and propose an algorithm for the best approach to FB ingestion.http://www.sciencedirect.com/science/article/pii/S2341454515001155Endoscopy, GastrointestinalForeign BodiesUpper Gastrointestinal Tract |
| spellingShingle | Pedro Magalhães-Costa Liliana Carvalho José Pedro Rodrigues Maria Ana Túlio Susana Marques Joana Carmo Miguel Bispo Cristina Chagas Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article GE: Portuguese Journal of Gastroenterology Endoscopy, Gastrointestinal Foreign Bodies Upper Gastrointestinal Tract |
| title | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article |
| title_full | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article |
| title_fullStr | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article |
| title_full_unstemmed | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article |
| title_short | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article |
| title_sort | endoscopic management of foreign bodies in the upper gastrointestinal tract an evidence based review article |
| topic | Endoscopy, Gastrointestinal Foreign Bodies Upper Gastrointestinal Tract |
| url | http://www.sciencedirect.com/science/article/pii/S2341454515001155 |
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