title: Management and endoscopic techniques for digestive foreign body and food bolus impaction.
abstract: Ingested foreign bodies, food bolus impaction, migration or retention of medical devices are frequent, in children as well as in adults. Most of these foreign bodies will naturally pass through the gastro-intestinal tract. Complications are rare but sometimes severe (oesophageal perforations are the most frequent and most feared). We aimed to review the literature on therapeutic management of digestive foreign bodies and food bolus impaction, with special focus on endoscopic indications, material, timing and techniques for removal. The role of the gastroenterologist is to recognise specific situations and to plan endoscopic removal in a timely manner with the most adequate conditions and extraction tools. Risk factors and underlying pathology, for example eosinophilic esophagitis, must be investigated and if necessary treated.
authors.affiliation: Emergency Endoscopy Unit, Department of Gastroenterology, APHP, Lariboisière Hospital, & iTEC Paris Diderot Paris 7 University, Paris, France.
authors.forename: Armelle
authors.initials: A
authors.lastname: Chauvin
authors.forename: Jerome
authors.initials: J
authors.lastname: Viala
authors.forename: Philippe
authors.initials: P
authors.lastname: Marteau
authors.forename: Philippe
authors.initials: P
authors.lastname: Hermann
authors.forename: Xavier
authors.initials: X
authors.lastname: Dray
mesh_terms: D016145:Endoscopy, Digestive System / Q000379:methods*; D057765:Eosinophilic Esophagitis / Q000150:complications; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery; D005502:Food / Q000009:adverse effects*; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery*; D005548:Foreign-Body Migration / Q000150:complications / Q000601:surgery; D006801:Humans