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  • Title: Emergency endoscopic management of dietary foreign bodies in the esophagus.
    Author: Lin HH, Lee SC, Chu HC, Chang WK, Chao YC, Hsieh TY.
    Journal: Am J Emerg Med; 2007 Jul; 25(6):662-5. PubMed ID: 17606092.
    Abstract:
    OBJECTIVE: We report our experience of endoscopy in the emergency management of dietary foreign bodies. METHODS: One hundred thirty-six patients were admitted to the emergency department (ED) between January 1997 and October 2006 for the endoscopic removal of esophageal dietary foreign bodies. They had a mean age of 47.7 years, and 91 (67%) were women. RESULTS: Most of the ingested materials (98.5%) were successfully extracted using either flexible or rigid endoscope. The objects most frequently ingested were fish bones (48%) and chicken bones (46%). Most of the objects (84%) were lodged in the upper esophagus. Two patients with irretrievable foreign bodies or complicated perforations were taken to surgery. CONCLUSION: Because most of these foreign bodies lodged in the upper esophagus, physicians should take care of this area to avoid secondary injury or complications, especially with sharp bones.
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