Esophageal foreign bodies (FBs) typically lodge at 3 sites of physiologic constriction:
Cricopharyngeal muscle—63%, most common (C6)
Gastroesophageal junction—20% (T11)
Aortic arch—10% ...
Chronically retained FB:
Respiratory symptoms predominate (paraes...
Airway maintenance and prevention of aspiration paramount
Oxygen for patients in distress
Place patient in whatever position gives most comfort.
Ipecac and cathartics cont...
Seriously ill patients and those with complications such as esophageal perforation, migration of FB through esophageal wall, significant bleeding
Perform radiographs to locate radiopaque FBs.
Maintain a high suspicion for esophageal perforation.
Cerri RW, Liacouras CA. Evaluation and management of foreign bodies in the upper gastrointestinal tract. Pediatr Case Rev. 2003;3:150–156.
Eisen GM, Baron TH, Dominitz JA,...
T18.108A Unsp foreign body in esophagus causing oth injury, init
T18.128A Food in esophagus causing other injury, initial encounter
47609003 foreign ...
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