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Virtual Pediatric Hospital: Paediapaedia: Upper GI for Esophageal Atresia and Tracheo Esophageal Fistula Paediapaedia: Gastrointestinal Procedure Descriptions

Esophageal Foreign Body Removal

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Patient Preparation:
None

Contrast:
Barium

Technique:
Contraindications: Sharp or irregularly edged foreign bodies or foreign bodies who have been impacted for a long time and have associated edema should be removed by endoscope.

Have an experienced laryngoscopist standing by in case the foreign body is aspirated into the esophagus.

Place the patient in a prone oblique position.

Pass a small Foley catheter into the esophagus beyond the foreign body and inflate the balloon with a water soluable contrast agent. Withdraw the foreign body using gentle traction into the pharynx where it can be spit out.

Follow the extraction with a contrast study to define any mucosal injury or other complication.

Views to Take:
AP and lateral views of the esophagus

References:
See References Chapter.

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