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