Foreign Bodies in the Esophagus

■ Essentials of Diagnosis:- • Most common in children, edentulous older patients, and the severely mentally impaired • Occurs at physiologic areas of narrowing (upper esophageal sphincter, the level of the aortic arch, or the diaphragmatic hiatus) • Other predisposing factors favoring impaction include Zenker’s diverticulum, webs, achalasia, peptic strictures, or malignancy • Recent ingestion of food or foreign material (coins most commonly in children, meat bolus most common in adults), but the history may be missing • Vague discomfort in chest or neck, dysphagia, inability to handle secretions, odynophagia, hypersalivation, and stridor or dyspnea in children • Radiographic or endoscopic evidence of esophageal obstruction by foreign body ■ Differential Diagnosis:- • Esophageal stricture • Eosinophilic esophagitis • Esophageal or mediastinal tumor • Angina pectoris ■ Treatment:- • Endoscopic removal with airway protection as needed and the use of an overtube if sharp objects are present • Emergent endoscopy should be used for sharp objects, disk batteries (secondary to risk of perforation due to their caustic nature), or evidence of the inability to handle secretions; objects retained in the esophagus should be removed within 24 hours of ingestion • Endoscopy is successful in > 90% of cases; avoid barium studies before endoscopy, as they impair visualization. @Nitin Goje

The esophagus is the most common site for an acute foreign body or food impaction in the gastrointestinal tract and 80% to 90% of swallowed objects that reach the stomach will eventually pass without intervention. common accidental esophageal foreign body ingestions include food bolus (mostly meat), fish or chicken bones, dentures, and coins.
Valuable opinion
Good explanation about foreign body and role of endoscopy
Thank you doctor
Nice presentation
Thank you sir..
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