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Gastroenterology Research and Practice
Volume 2016, Article ID 8520767, 6 pages
http://dx.doi.org/10.1155/2016/8520767
Review Article

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

1Lake Erie College of Osteopathic Medicine and St. John’s Episcopal Hospital, Erie, PA, USA
2SUNY Downstate Medical Center, Brooklyn, NY, USA
3Department of Surgery, St. John’s Episcopal Hospital, Far Rockaway, NY, USA
4St. John’s Episcopal Hospital, Far Rockaway, NY, USA

Received 2 June 2016; Accepted 4 August 2016

Academic Editor: Kenya Kamimura

Copyright © 2016 Mikhael Bekkerman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.