Gastrointestinal foreign bodies and strictures: Radiologic interventions

Shaffer, Hubert A.; Lange, Eduard E. de

doi:10.1016/0363-0188(94)90015-9

Cited by 14 publications

(1 citation statement)

References 105 publications

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“…Physicians should bear in mind that the presence of fish or chicken bones, glass, wood and thin metals cannot be ruled out by plain radiographies. 19 , 23 , 25 , 26 , 27 , 28 Because false-negative rates with plain film radiographs are as high as 47% in cases of FB suspiction 24 , 29 and 87% in cases of food bolus impaction, 30 even after negative or inconclusive findings on radiographic imaging, every patient with a clinical suspicion of a FB or food bolus impaction should undergo endoscopy. In case of perforation suspicion and for the evaluation of non-radiopaque FB, computed tomography (CT) should be preferred to plain radiographs.…”

Section: Diagnosismentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article

Magalhães-Costa

Carvalho

Rodrigues

et al. 2016

GE Portuguese Journal of Gastroenterology

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Gastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10–20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners. On the other hand, food bolus impaction typically occurs in the elderly population with an underlying esophageal pathology. The most serious situations, with higher rates of complications, are associated with prolonged esophageal impaction, ingestion of sharp and long objects, button batteries and magnets. Physicians should recognize early alarm symptoms, such as complete dysphagia, distressed patients not able to manage secretions, or clinical signs of perforation. Although many papers are yearly published regarding this subject, our knowledge is mainly based on case-reports and retrospective series. Herein, the authors summarize the existing evidence and propose an algorithm for the best approach to FB ingestion.

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