Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee.

  title={Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee.},
  author={Robert E. Kramer and Diana Lerner and Tom K. Lin and Michael A. Manfredi and Manoj J. Shah and Thomas C. Stephen and Troy Gibbons and Harpreet Pall and Benjamin Sahn and Mark E. Mcomber and George M. Zacur and Joel A. Friedlander and Antonio J. Quiros and Douglas S. Fishman and Petar Mamula},
  journal={Journal of pediatric gastroenterology and nutrition},
  volume={60 4},
Foreign body ingestions in children are some of the most challenging clinical scenarios facing pediatric gastroenterologists. Determining the indications and timing for intervention requires assessment of patient size, type of object ingested, location, clinical symptoms, time since ingestion, and myriad other factors. Often the easiest and least anxiety-producing decision is the one to proceed to endoscopic removal, instead of observation alone. Because of variability in pediatric patient size… 
Foreign body and caustic ingestions in children: A clinical practice guideline.
  • S. Oliva, C. Romano, L. Norsa
  • Medicine
    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
  • 2020
Foreign Body Ingestion in Children: Urgency of Management
Clinical management focuses on identifying and treating the cases at risk for complications, which depends on the location and type of foreign body, and timing of removal depends on nature of ingested object and signs & symptoms of the airway/intestinal obstruction.
Endoscopic management of foreign body ingestion in children
Endoscopic intervention is effective and well tolerated in the management of ingested foreign bodies in the upper gastrointestinal system and parents and children should be cautioned against playing with coins, to reduce the incidence of foreign body ingestion.
Managing Pediatric Foreign Body Ingestions
The presence or absence of symptoms, as well as the type of symptom, could aid clinicians in implementing diagnosis and proper management approaches in patients who ingest FBs requiring endoscopy.
Foreign Body Ingestion in Children
Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Although most FBs in the gastrointestinal tract pass spontaneously without
Foreign body ingestion in pediatric patients
Clinical manifestations and management of common pediatric foreign body ingestions are reviewed with a particular focus on some of the current trends, including injuries associated with ingesting parts of a popular toy known as a ‘Fidget Spinner’.
Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature
A well-documented clinical history and thorough physical exam is critical in making the diagnosis, and if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities.
Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population
Endoscopic removal of FB is a safe procedure with excellent outcomes in a specialized gastroenterology unit and except for one child developed bronchopneumonia, there was no morbidity or mortality in the study.
Foreign Body Ingestions: Approach to Management
Pediatric foreign body ingestions should be treated as emergencies and development of clinical pathways for management of foreign body ingestion can be a useful tool for this patient population.
Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department
The data confirm that the ESPGHAN-ESGE guidelines application prevents interventions that are not necessary, avoiding diagnostic and therapeutic delays.


Management of ingested foreign bodies in childhood and review of the literature
Recommendations for management of children presenting with a history of suspected accidental ingestion of a foreign body for the community paediatrician are proposed.
Techniques of foreign body removal in infants and children
Various techniques and endoscopic equipment are used to remove ingested foreign bodies in children including specialized forceps, baskets, snares, and friction fit adaptors and these are discussed.
Pediatric foreign bodies and their management
Methods to deal with foreign bodies include the suture technique, the double snare technique, and the combined forceps/snare technique for long, large, and sharp foreign bodies, along with newer equipment, such as retrieval nets and a variety of specialized forceps.
Foreign body ingestion in Turkish children.
The blue beads/safety pin and turban pin were the commonly ingested foreign bodies in children in the authors' center due to cultural factors, and education of the parents and of adolescent girls should greatly reduce the incidence of FBI.
Ingested Foreign Bodies of the Gastrointestinal Tract: Retrospective Analysis of 542 Cases
Conservative approach to FB ingestion is justified, although early endoscopic removal from the stomach is recommended, in cases of failure, surgical removal for gastric FBs longer than 7.0 cm is wise.
Swallowed foreign bodies in children: report of four unusual cases.
The urgent need and utility of endoscopic accessories and technical artistry in safe retrieval of FBs in children with pointed or sharp ends or large enough to cross the pylorus and duodenal sweep is highlighted.
Pediatric gastrointestinal foreign body ingestions.
Foreign body ingestions in children: risk of complication varies with site of initial health care contact. Pediatric Practice Research Group.
The findings demonstrate the risk of drawing conclusions regarding a universal standard of care from studies involving only hospital-based patients, and demonstrate the need for aggressive evaluation of children with suspected foreign body ingestions.
Bougienage Versus Endoscopy for Esophageal Coin Removal in Children
Bougienage of impacted esophageal coins is an effective, safe, and more economic treatment modality for selected pediatric patients with uncomplicated coin ingestion and may provide a valuable tool to emergency room physicians or primary care doctors especially when endoscopy is not readily available.