Foreign Body Ingestion: Dos and Don'ts
ENDOSCOPY Frontline Gastroenterol: first published as 10.1136/flgastro-2020-101450 on 6 October 2020. Downloaded from EDUCATION IN PRACTICE Foreign body ingestion: dos and don’ts Aymeric Becq,1,2 Marine Camus,1,2 Xavier Dray 1,2 1Endoscopy Department, Hôpital INTRODUCTION Emesis, retching, blood- stained saliva, Saint Antoine, APHP, Sorbonne Foreign body ingestion comprises a true hypersialorrhoea, wheezing and/or respira- Université, Paris, Île- de- France, France foreign body (ie, non- food) ingestion and tory distress in non- communicative patients 2Paris On- call Endoscopy Team, food bolus impaction. Foreign body inges- (children and psychiatric patients) are Assistance Publique Hopitaux de tion is not uncommon and accounts for suggestive of foreign body impaction.7 Paris, Paris, Île- de- France, France roughly 4% of urgent endoscopies under- Oesophageal impaction (food bolus) is often 1 2 Correspondence to taken. True foreign body ingestion is symptomatic: retching, vomiting, foreign Professor Xavier Dray, Endoscopy mostly encountered in paediatric popula- body sensation, dysphagia, odynophagia, Unit, Hôpital Saint Antoine, APHP, tions with 75% of cases occurring in less sore throat and retrosternal pain. Hypersia- Sorbonne Université, 75012 1 Paris, Île- de- France, France; than 5- year- old children. Coins, buttons, lorrhoea and inability to manage secretions xavier. dray@ aphp. fr plastic items, batteries and bones are suggest complete oesophageal obstruction, common culprits.3 Food bolus impaction warranting urgent endoscopic retrieval.7 Received 1 July 2020 Revised 27 August 2020 on the other hand is mostly seen in adults, Cervical crepitus, neck swelling or pneumo- Accepted 30 August 2020 usually accidental (95% of cases). Steakhouse mediastinum are suggestive of oesophageal syndrome, animal bones, toothpicks and fish perforation.
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