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Foreign Body Ingestions: Approach to Management

Abstract

Purpose of Review

This article reviews the diagnosis, evaluation, pre-intervention preparation, and endoscopic management of pediatric foreign body ingestion, which is a commonly encountered problem that may present a challenge for healthcare providers and has a potential for significant morbidity and mortality.

Recent Findings

While the lack of randomized controlled trials in this area remains, recent literature has shed light on new imaging methods to localize foreign bodies and evaluate for complications, new types of foreign body ingestions, and updated management paradigms.

Summary

Pediatric foreign body ingestions should be treated as emergencies. If clinically indicated, endoscopy has been shown to be safe, successful, and cost-effective with low rates of complication. Management depends on the size, location, and type of foreign body ingested. Development of clinical pathways for management of foreign body ingestion can be a useful tool for this patient population.

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Correspondence to Petar Mamula.

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The authors declare that they have no conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Gastrology

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Shah, A., Mamula, P. Foreign Body Ingestions: Approach to Management. Curr Pediatr Rep 6, 57–66 (2018). https://doi.org/10.1007/s40124-018-0157-8

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Keywords

  • Foreign body ingestion
  • Button battery
  • Magnet
  • Fidget spinner
  • Food impaction
  • Clinical pathway