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Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2019; 11(3): 174-192
Published online Mar 16, 2019. doi: 10.4253/wjge.v11.i3.174
Foreign object ingestion and esophageal food impaction: An update and review on endoscopic management
Brian M Fung, Seth Sweetser, Louis M Wong Kee Song, James H Tabibian
Brian M Fung, UCLA-Olive View Internal Medicine Residency Program, Sylmar, CA 91342, United States
Seth Sweetser, Louis M Wong Kee Song, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, United States
James H Tabibian, Division of Gastroenterology, Olive View-UCLA Medical Center, Sylmar, CA 91342, United States
Author contributions: Fung BM and Tabibian JH reviewed the literature for relevant original studies and other content; Fung BM designed and/or formatted the figures; Tabibian JH, Sweetser S and Wong Kee Song LM reviewed the figures; Fung BM and Tabibian JH drafted the manuscript; Tabibian JH, Sweetser S and Wong Kee Song LM provided supervision; all authors provided critical input and approved of the manuscript.
Conflict-of-interest statement: The authors have no financial disclosures or conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: James H Tabibian, MD, PhD, Health Sciences Clinical Associate Professor, Geffen School of Medicine at UCLA, Director of Endoscopy, Department of Medicine, Olive View-UCLA Medical Center, 14445 Olive View Dr., 2B-182, Sylmar, CA91342, United States. jtabibian@dhs.lacounty.gov
Telephone: +1-747-2103205 Fax: +1-747-2104573
Received: February 2, 2019
Peer-review started: February 11, 2019
First decision: February 26, 2019
Revised: March 8, 2019
Accepted: March 11, 2019
Article in press: March 11, 2019
Published online: March 16, 2019
Processing time: 43 Days and 2.7 Hours
Abstract

Foreign body ingestion encompasses both foreign object ingestion (FOI) and esophageal food impaction (EFI) and represents a common and clinically significant scenario among patients of all ages. The immediate risk to the patient ranges from negligible to life-threatening, depending on the ingested substance, its location, patient fitness, and time to appropriate therapy. This article reviews the FOI and EFI literature and highlights important considerations and implications for pediatric and adult patients as well as their providers. Where published literature is insufficient to provide evidence-based guidance, expert opinion is included to supplement the content of this comprehensive review.

Keywords: Foreign bodies; Endoscopy; Gastrointestinal emergency; Medical management; Dysphagia

Core tip: Foreign body ingestion encompasses both foreign object ingestion (FOI) and esophageal food impaction (EFI) and represents a common and clinically significant scenario among patients of all ages. This article reviews the FOI and EFI literature and highlights important considerations and implications for pediatric and adult patients as well as their providers.