Abstract
Endoscopic retrieval of gastrointestinal foreign bodies is a commonly performed procedure among surgeons and gastroenterologists. Most true foreign body ingestions occur in young children 6 months to 6 years of age. Particular occupations, psychiatric diseases, and incarceration pose unique risks for foreign body ingestion. Food impaction occurs more commonly in adults, and is generally associated with underlying esophageal pathology. Colorectal foreign bodies most frequently occur during erotic stimulation, and may result in delayed presentation and incomplete histories due to embarrassment. Flexible endoscopy is the most efficacious approach to foreign body retrieval, with success rates greater than 95% and low procedure-related complications. Timely intervention reduces the risks of foreign body-related complications, such as complete obstruction, perforation, fistulization, or abscess formation.
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References
Smith M, Wong R. Foreign bodies. Gastrointest Endosc Clin N Am. 2007;17(2):361–82.
Sugawa C, Ono H, Taleb M, Lucas C. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review. World J Gastrointest Endosc. 2014;6(10):475–81.
Wright C, Closson F. Updates in pediatric gastrointestinal foreign bodies. Pediatr Clin N Am. 2013;60(5):1221–39.
Telford J. Management of ingested foreign bodies. Can J Gastroenterol. 2005;19(10):599–601.
Dalal P, Otey A, McGonagle E, Whitmill M, Levine E, McKimmie R, et al. Intentional foreign object ingestions: need for endoscopy and surgery. J Surg Res. 2013;184(1):145–9.
Vicari JJ, Johanson JF, Frakes JT. Outcomes of acute esophageal food impaction: success of the push technique. Gastrointest Endosc. 2001;53(2):178–81.
Nakamura M, Hirooka Y, Watanabe O, Yamamura T, Nagura A, Yoshimura T, et al. Minimally invasive extraction of a foreign body from the small intestine using double-balloon endoscopy. Nagoya J Med Sci. 2015;77(1–2):189–94.
Pfau P, Hancock S. Chapter 27. Foreign bodies, bezoars, and caustic ingestions. In: Gastrointestinal and liver disease. 10th ed. Philadelphia: Sleisenger and Fordtran; 2016. p. 426–38.
Birk M, Bauerfeidn P, Deprez P, Hafner M, Hartmann D, Hassan C, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48:1–8.
Dominitz J, Strohmeyer L, Sharaf R, Maple J, Krinsky ML, Khan K, et al. Management of ingested foreign bodies and food impaction. Gastrointest Endosc. 2011;73(6):1075–91.
Haas J, Leo J, Vakil N. Glucagon is a safe and inexpensive initial strategy in esophageal food bolus impaction. Dig Dis Sci. 2016;61(3):841–5.
Tierney W, Adler D, Conway J, Diehl D, Farraye F, Kantsevoy S, et al. Overtube use in gastrointestinal endoscopy. Gastrointest Endosc. 2009;70(5):828–34.
Moy Y, Qui H, Liu Q, Lu Z, Fan K, Huang Y, et al. Endoscopic lithotripsy for gastric bezoars by Nd:YAG laser-ignited mini-explosive technique. Lasers Med Sci. 2014;29(3):1237–40.
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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
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Koller Gorham, J., Trus, T.L. (2020). Endoscopic Retrieval of Foreign Bodies. In: Nau, P., Pauli, E., Sandler, B., Trus, T. (eds) The SAGES Manual of Flexible Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-23590-1_12
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DOI: https://doi.org/10.1007/978-3-030-23590-1_12
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