Emergency endoscopic management of dietary foreign bodies in the esophagus

Am J Emerg Med. 2007 Jul;25(6):662-5. doi: 10.1016/j.ajem.2006.12.012.

Abstract

Objective: We report our experience of endoscopy in the emergency management of dietary foreign bodies.

Methods: One hundred thirty-six patients were admitted to the emergency department (ED) between January 1997 and October 2006 for the endoscopic removal of esophageal dietary foreign bodies. They had a mean age of 47.7 years, and 91 (67%) were women.

Results: Most of the ingested materials (98.5%) were successfully extracted using either flexible or rigid endoscope. The objects most frequently ingested were fish bones (48%) and chicken bones (46%). Most of the objects (84%) were lodged in the upper esophagus. Two patients with irretrievable foreign bodies or complicated perforations were taken to surgery.

Conclusion: Because most of these foreign bodies lodged in the upper esophagus, physicians should take care of this area to avoid secondary injury or complications, especially with sharp bones.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Bone and Bones
  • Chickens
  • Emergency Medicine / methods
  • Esophagoscopy*
  • Esophagus* / diagnostic imaging
  • Female
  • Fishes
  • Food / adverse effects*
  • Foreign Bodies / diagnostic imaging
  • Foreign Bodies / therapy*
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Retrospective Studies