RT Book, Section A1 Thompson, Christopher C. A2 Greenberger, Norton J. A2 Blumberg, Richard S. A2 Burakoff, Robert SR Print(0) ID 55959863 T1 Chapter 34. Gastrointestinal Foreign Bodies T2 CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 2e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176848-1 LK accessmedicine.mhmedical.com/content.aspx?aid=55959863 RD 2024/04/19 AB Plain films should be the initial diagnostic study; obtain both lateral and posteroanterior films of the neck, chest, and abdomen as indicated.Avoid oral contrast.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.Many foreign bodies pass spontaneously, but certain objects (eg, sharp objects and batteries) need urgent intervention.