title: Foreign Body Endoscopy Experience of a University Based Hospital.
abstract: BACKGROUND
  Guidelines support endoscopic removal of certain gastric FB and all FB lodged in the esophagus. We aim to report our experience on endoscopic foreign bodies (FB) removal in order to aid in the formation of future guidelines regarding this subject.
  
  
  METHODS
  Retrospective analysis of one hundred forty-four cases of FB removal involving 43 patients who underwent esophagogastroduodenoscopy (EGD) for FB removal from January 2005 through December 2010 in a university-based hospital. To evaluate to outcome of endoscopic FB removal, cost of procedures and complications.
  
  
  RESULTS
  Of all FB removal cases, 23 (53%) were males, with total mean age of 26.4 ± 11.3 years. Only 20% were performed on an outpatient bases. Abdominal x-ray was obtained to confirm ingestion of FB in 83%, and computed tomography scan was performed in 13%. Most procedures were performed in operation room (59%) while only 21% of the cases were performed in endoscopy lab. General anesthesia was used in 58%, while monitored anesthesia care in 28%. Average time to EGD was 17.14 hours. No major complications due to procedure were reported. Minor trauma and erosions due to FB were reported in 14%. FB extraction was unsuccessful in only three cases, and one case required surgical intervention. Cost of all procedures was over 430, 000 dollars with mean of 2,990 dollars for procedure.
  
  
  CONCLUSIONS
  Endoscopic retrieval is effective and safe procedure, but utilizes significant hospital resources.
authors: Department of Gastroenterology, State University of New York at Buffalo, NY, USA.
authors: Eiad
authors: E
authors: Nassar
authors: Department of Medicine, State University of New York at Buffalo, NY, USA.
authors: Rabi
authors: R
authors: Yacoub
authors: Department of Medicine, State University of New York at Buffalo, NY, USA.
authors: Dany
authors: D
authors: Raad
authors: Department of Gastroenterology, State University of New York at Buffalo, NY, USA.
authors: Jason
authors: J
authors: Hallman
authors: Department of Gastroenterology, State University of New York at Buffalo, NY, USA.
authors: Jan
authors: J
authors: Novak
keywords: Endoscopy; Esophagus; Foreign bodies