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Foreign Body Removal

  • Juan Reyes Genere
  • Uzma D. SiddiquiEmail author
Chapter
  • 694 Downloads

Abstract

Foreign bodies in the upper gastrointestinal tract may be the result of intentional ingestion of household objects, unintentional food impaction, or a migrated gastrointestinal device. Managing these foreign bodies hinges on the patient history, physical characteristics of the foreign body, and an assessment of risk for complications. When endoscopic intervention is indicated, determining the timing to intervention and a retrieval strategy are needed. There are many endoscopic retrieval devices and techniques developed to suit the diverse circumstances encountered in gastrointestinal foreign bodies. This chapter discusses the current management and endoscopic retrieval strategies for gastrointestinal foreign bodies.

Keywords

Foreign body Foreign object Intentional ingestion Unintentional ingestion Device migration Esophageal impaction Impacted food Gastric bezoar Esophageal stent Gastric band Drug packing Endoscopic emergency Endoscopic retrieval Endoscopic technique Pull technique Push technique Double-snare technique Latex hood Overtube 

Notes

Acknowledgements

Irving Waxman MD, Gautham Reddy MD, Bruce Bissonnette MD, Natalia Lipin MD

Supplementary material

Video 4.1. Video of an endoscopic mechanical lithotripter assisted removal of a partially eroded gastric lap band

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Medicine, Section of Internal MedicineUniversity of Chicago Medical CenterChicagoUSA
  2. 2.Center for Endoscopic Research and Therapeutics (CERT), Endoscopic Ultrasound (EUS) and Advanced Endoscopy TrainingUniversity of Chicago Medical CenterChicagoUSA

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