Pediatr Gastroenterol Hepatol Nutr.  2023 Jan;26(1):1-14. 10.5223/pghn.2023.26.1.1.

Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines

• Demiroren K

• KMID: 2538189
• DOI: http://doi.org/10.5223/pghn.2023.26.1.1

Abstract

Foreign body (FB) ingestion is a common health problem that affects children more than adults. According to gastroenterologists’ guidelines, the management of FB ingestion differs slightly between adult and children. This review aimed to compile adult and children guidelines and establish an understandable association to reveal the requirements and timing of the endoscopic procedure, which is the most effective and least complicated technique for gastrointestinal FBs. Coins, pins, and chicken and fish bones have been the most commonly ingested FBs. However, with their increasing use in recent years, large batteries with lithiumion conversion, stronger magnets composed of rare earth metals, such as neodymium, and superabsorbent objects have become the most morbid and mortal, necessitating new management strategies. Although the approach to gastrointestinal FBs is controversial, with different treatment options available in different disciplines, many studies have demonstrated the efficacy and safety of endoscopic procedures. Many factors influence the timing of endoscopy, including the nature, size, and location of the ingested object and the patient’s clinical condition.

Keyword

Battery; Blunt; Button; Coin; Cylindrical; Magnet; Food impaction; Pointed; Sharp; Superabsorbent