Foreign Body Removal Types of Objects Swallowed

Fig. 4.31 Objects that may be swallowed a Coins

Fig. 4.31 Objects that may be swallowed a Coins

b Marbles

c, d Batteries e Piece of meat

e Piece of meat

► Remove only if stuck in the esophagus.

► Often become trapped at the upper esophageal sphincter.

► Coins in the stomach will usually pass spontaneously.

Instruments

► Coins with a raised edge: foreign-body grasping forceps

► Coins without a raised edge: grasping forceps with a rubber-shod grasping surface

► Try to remove quickly, as they may release toxic substances.

Instruments

► Stone-retrieval basket with an overtube

► Esophageal dilating balloon (only after intubation)

► Try to remove quickly, as batteries release heavy metals.

► Potassium or sodium hydroxide, burns

Instruments

► Stone-retrieval basket with an overtube

► Esophageal dilating balloon (only after intubation)

► Common in adults

► Many patients have a distal stricture due to reflux esophagitis.

Instruments

► Stone-retrieval basket

► Suction at the tip of an overtube

► Caution: Pushing a piece of meat down into the stomach is risky due to the perforation hazard!

► Many partial dentures have sharp hooks.

f Partial denture f Partial denture g Safety pin g Safety pin h Metal object with a hole h Metal object with a hole

PEG bumper j Drug-filled condom

► Many partial dentures have sharp hooks.

Instruments

► Foreign-body grasping forceps

► Stone-retrieval basket

► All instruments should be used with an overtube.

■ Needles, Toothpicks

► Often difficult to locate

Instruments

► Grasping forceps

► Snare with overtube

► Remove with the point trailing.

■ Foreign Bodies with a Hole

Instruments

► Thread and grasping forceps

■ Percutaneous Endoscopic Gastronomy (PEG) Bumper

► The internal bumper of the PEG should be removed after cutting the tube.

Instruments

► Open biopsy forceps

■ Condoms Containing Narcotics (Fig.4.31 j)

► Endoscopic retrieval is very risky.

► Surgical removal is safest for most patients.

Instruments

► Removal with a snare may be tried.

Was this article helpful?

0 0

Post a comment