DOI: http://dx.doi.org/10.18203/2349-2902.isj20202826

Endoscopic management of foreign bodies in the upper gastrointestinal tract

Sandip Kumar S. Chaudhari, Sonalben M. Chaudhary

Abstract


Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 5 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.

Methods: Cases of foreign body ingestion admitted to department of general surgery from March 2015 to March 2020 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.

Results: A total of 55 cases were studied. Age range was 1-85 years. Males were predominant 61.81%. Coins were found most commonly 63.6%. Esophagus was the commonest site of FB lodgement 70.9%. Upper esophagus being the most common 36.36%. Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 55 cases. There were no complications throughout the study period.

Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

 


Keywords


Foreign body, Endoscopic management, Esophageal stricture, Food bolus impaction, True foreign body

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References


Sugawa C, Ono H, Taleb M, Lucas CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review. World J Gastro Endo. 2014;6(10):475-81.

Pauf P. Ingested foreign objects and food bolus impaction in clinical gastrointestinal endoscopy, GG Ginsberg ML, Kochman I Norton. Saunders, Elsevier; 2005: 291-304.

Yao CC, Wu IT, Lu LS, Lin SC. Endoscopic management of foreign bodies in the upper gastrointestinal tract of adults. Biomed Res Int. 2015:658602.

Pedro MC, Carvalho L, Jose PR, Maria AT. Endoscopic management of foreign bodies in the upper gastrointestinal tract: an evidence-based review article. GE Port J Gastroenterol. 2016;23(3):142-52.

Bekkeraman M, Sachdev AH, Andrade J, Twersky Y. Endoscopic management of foreign bodies in the gastrointestinal tract: A review of the literature” Gastroenterology Res Pract; 2016.

Shew M, Jiang ZD, Bruegger, Arganbright J. Migrated esophageal foreign body presents as acute onset dysphagia years later: a case report. Int J Pediatr Otorhinolaryngol. 2001;79(12):2460-2.

Ginsberg. Management of ingested foreign bodies and food bolus impactions. Gastroint Endosc. 1995;41:33-8.

Steven O, Ikenberry, Terry L, Jue. Management of ingested foreign bodies and food impaction. Gastro Endo. 2011;73(6).

Birk M. Bauerfeind P, Deprez PH, Hafner M, Hartmann D. Removal of foreign bodies in the upper gastrointestinal tract in adults. Eu Soci Gastro Endo Clin Guide Endo. 2016:48:489-96.

Soprano JV, Mandl. Four strategies for the management of esophageal coins in children. Pediatr. 2000;105(1):106-7.

Hunter TB, Taljanovic MS. Foreign bodies. Radiograph. 2003;23(3):731-57.

Webb WA. Management of foreign bodies of the upper gastrointestinal tract-Update. Gastro Endo. 1995;41(1):39-51.

Ikenberry SO, Jue TL, Anderson MA. Management of ingested foreign bodies and food impactions. Gastro Endo. 2011;73(6):1085-91.

Emara MH, Darweish EM, Refaey MM, Galal SM. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5 years’ experience. Clin Exp Gastroenterol. 2014;7:249-53.

Hong KH, Kim YJ, Kim JH, Chun SW. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol. 2015;21:8125-31.

Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Menachem BT, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085-91.

Lerias C, Cabral PJ, Souto P, Saraiva S, Baldaia C, Gouveia H. Corpos estranhos no tracto digestivo alto: analise de 552 casos. GE J Port Gastroenterol. 2003;10:92-9.

Mosca S, Manes G, Martino R, Amitrano L, Bottino V, Bove A, et al. Management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy. 2001;33:692-6.

Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc. 1995;41:39-51.

Bonadio WA, Emslander H, Milner D, Johnson L. Mucosal changes in children with an acutely ingested coin lodged in the esophagus. Pediatr Emerg Care. 1994;10:333-4.

Chaikhouni A, Kratz JM, Crawford FA. Foreign bodies of the esophagus. Am Surg. 1985;51:173-9.

Loh KS, Tan LK, Smith JD, Yeoh KH, Dong F. Complications of foreign bodies in the esophagus. Otolaryngol Head Neck Surg. 2000;123:613-6.

Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55:802-6.

Spitz L. Management of ingested foreign bodies in childhood. Br Med J. 1971;4:469-72.

Suita S, Ohgami H, Nagasaki A, Yakabe S. Management of pediatric patients who have swallowed foreign objects. Am Surg. 1989;55:585-59.

Chiu YH, Hou SK, Chen SC, How CK, Lam C, Kao WF, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012;343:192-5.

Alaradi O, Bartholomew M, Barkin JS. Upper endoscopy and glucagon: a new technique in the management of acute esophageal food impaction. Am J Gastroenterol. 2001;96:912-3.

Colon V, Grade A, Pulliam G, Johnson C, Fass R. Effect of doses of glucagon used to treat food impaction on esophageal motor function of normal subjects. Dysphagia. 1999;14:27-30.

Haddad AM, Ward EM, Scolapio JS, Ferguson, M. Raimondo DD. Glucagon for the relief of esophageal food impaction does it really work. Dig Dis Sci. 2006;51:1930-193.

Ferrucci JT, Long JA. Radiologic treatment of esophageal food impaction using intravenous glucagon. Radiology. 1977;125:25-8.

Trenkner SW, Maglinte DD, Lehman GA, Chernish SM, Miller RE, Johnson CW. Esophageal food impaction: treatment with glucagon. Radiology. 1983;149:401-3.

Ignotus PI, Grundy A. Disimpaction of swallowed bolus. Br Med J. 1989;298:1359.

Thomas L, Webb C, Duvvi S, Jones T, Reddy KT. Is buscopan effective in meat bolus obstruction. Clin Otolaryngol. 2005;30:183-5.

Basavaraj S, Penumetcha KR, Cable HR, Umapathy N. Buscopan in oesophageal food bolus: is it really effective. Eur Arch Otorhinolaryngol. 2005;262:524-7.

Rice BT, Spiegel PK, Dombrowski PJ. Acute esophageal food impaction treated by gas-forming agents. Radiology. 1983;146:299-301.

Smith JC, Janower ML, Geiger AH. Use of glucagon and gas-forming agents in acute esophageal food impaction. Radiology. 1986;159:567-8.

Maini S, Rudralingam M, Zeitoun H, Osbourne JE. Aspiration pneumonitis following papain enzyme treatment for oesophageal meat impaction. J Laryngol Otol. 2001;115:585-6.

Schunk JE, Harrison AM, Corneli HM, Nixon GW. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes. Pediatrics. 1994;94:709-14.

Kim JK, Kim SS, Kim JI, Kim SW, Yang YS, Cho SH, et al. Management of foreign bodies in the gastrointestinal tract: an analysis of 104 cases in children. Endoscopy. 1999;31:302-4.

Mirji P, Daddenavar V, Kalburgi E. Endoscopic management of foreign bodies in the upper gastrointestinal tract. Int Surg J. 2017;4:3277-9.

Weinstock LB, Shatz BA, Thyssen SE. Esophageal food bolus obstruction: evaluation of extraction and modified push techniques in 75 cases. Endoscopy. 1999;31:421-5.