Background: Foreign body ingestions are encountered in the clinical practice and sometimes require endoscopic management. However, time trends and epidemiology of these cases have not been fully clarified. If seasons and festivals like Chinese New Year have an effect on the occurrence is poorly described.Methods: We enrolled consecutive 1152 foreign body ingestion cases in our endoscopic center from 2009 to 2020. Case records were reviewed for demographic data, foreign body type and location, outpatient or hospitalization, adverse events and dates. Annual time trends and seasonal variation were analyzed as well as influence of Chinese New Year on the incidence. Clinical features of these cases were demonstrated. Results: The overall success rate was 99.7% and adverse events rate was 2.4%. There was an uptrend in the annual frequency of food foreign body ingestion endoscopic extraction from 0.65 in 2009 to 8.86 in 2020 per 1000 patients of esophagogastroduodenoscopy (r=0.902, P<0.001). And the frequency of the endoscopic extraction had a significant increase in winter (P<0.001) and during Chinese New Year celebratory season (P=0.003). Inpatient(OR=5.656, P<0.001), jujube pits(OR=18.306, P=0.009) and age ≥60 years(OR=2.979, P=0.007) were risk factors of perforation and fistula.Conclusions: The annual frequency of endoscopic foreign body extraction in the upper gastrointestinal tract present an uptrend from 2009 to 2020. We should enhance the publicity about the danger of foreign body ingestion. Chinese New Year celebratory season and the winter may be the high-incidence period. Inpatient, jujube pits impaction and age ≥60 years may indicate higher risk of severe complications.