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Endoscopic removal of GI foreign bodies is safe

Endoscopic removal of upper GI tract foreign bodies and food bolus impaction is safe, shows the latest issue of the Journal of Gastroenterology.

News image

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Ingested foreign bodies and food bolus impaction are frequently seen in endoscopic practice.

Successful foreign body and food bolus removal may depend on the method used, the choice of device, and the experience level of the endoscopist.

However, few papers report experience and outcome of tertiary centers.

Dr Panagiotis Katsinelos and colleagues investigated the effectiveness of a protocol designed for removal of ingested foreign bodies and food boluses.

The investigators retrospectively reviewed all patients with a diagnosis of foreign body ingestion and food bolus impaction from 1994 to 2005.

Endoscopic management had a 99% success rate
Journal of Gastroenterology

The team identified 171 patients by computer search.

Patients were excluded if medical record was incomplete.

Foreign bodies and impacted food boluses were found in 77 and 62 patients, respectively.

In 23%, the foreign bodies passed spontaneously through the gastrointestinal tract.

The overall success rate for endoscopic management was obtained in 99%.

The investigators noted that surgical removal of a foreign body was required in only 1%.

According to the type and location of the foreign object and food bolus the team used Dormia baskets, retrieval forceps, and polypectomy snares.

The team also used all sizes of Roth net.

The investigators observed no complications relating to the endoscopic procedure.

The team found that 35% had an underlying esophageal disease.

Dr Katsinelos' team concludes, “Endoscopic removal of upper gastrointestinal tract foreign bodies and food bolus impaction is efficacious and safe.”

“Especially the Roth net is the best device for safe retrieval of food boluses and button disc batteries.”

J Clin Gastroenterol 2006: 40(9): 784-9
09 October 2006

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