RT Book, Section
A1 Storm, Andrew C.
A1 Thompson, Christopher C.
A2 Greenberger, Norton J.
A2 Blumberg, Richard S.
A2 Burakoff, Robert
SR Print(0)
ID 1119989507
T1 Gastrointestinal Foreign Bodies
T2 CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 3e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071837729
LK accessmedicine.mhmedical.com/content.aspx?aid=1119989507
RD 2024/04/20
AB ESSENTIALS  OF  FOREIGN  BODIESPlain  films  should  be  the  initial  diagnostic  study;  obtain  both  lateral  and  posteroanterior  films  of  the  neck,  chest,  and  abdomen  as  indicated.Avoid  oral  contrast  as  this  may  obscure  endoscopic  visualization.Endoscopic  evaluation  may  be  required  for  objects  that  are  potentially  radiolucent  in  patients  with  a  compelling  history  but  negative  imaging  findings.Impacted  meat  is  typically  radiolucent  and  is  the  most  common  esophageal  foreign  body  in  adults;  perform  endoscopy  promptly  in  all  cases  with  clinical  evidence  of  obstruction  and  failure  to  pass  on  initial  medical  management.Consider  endotracheal  intubation  prior  to  foreign  body  extraction  to  protect  the  airway  from  both  secretions  and  risk  of  aspiration  of  the  foreign  body  upon  retrieval.Many  foreign  bodies  pass  spontaneously,  but  some  objects  (eg,  sharp  objects  and  batteries)  require  urgent  intervention.