title: Review of foreign body ingestion and esophageal food impaction management in adolescents.
abstract: Foreign body ingestion is a common clinical scenario among patients of all ages. The immediate risk to the patient ranges from negligible to life threatening. Initial and follow-up management strategies depend on multiple patient and ingested object-related factors. Available literature on this topic tends to focus on the small child or adult, leaving the clinician caring for adolescents to extrapolate this information to guide decision making for individual patients. This article reviews foreign body ingestion literature with important implications to the adolescent patient and raises awareness of some highly dangerous objects such as large button batteries, high-powered magnets, long sharps, narcotic packages, and super absorbent objects. An additional focus includes the management of esophageal food impaction. We highlight the unique aspects to the care of the adolescent with intentional ingestion and co-morbid psychiatric illness. The article concludes by discussing the challenges to prevention of ingestion in the at-risk patient.
authors.affiliation: Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: sahnb@email.chop.edu.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Sahn
authors.affiliation: Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Petar
authors.initials: P
authors.lastname: Mamula
authors.affiliation: Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pennsylvania; Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Carol A
authors.initials: CA
authors.lastname: Ford
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D015897:Comorbidity; D004435:Eating; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus; D005260:Female; D005502:Food; D005547:Foreign Bodies / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology; D012307:Risk Factors; D014481:United States; D055815:Young Adult
keywords: Button batteries; Foreign body ingestion; High-powered magnets; Intentional ingestion; Narcotic packets; Super absorbent objects