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.
Section Top | Title Page
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2013 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.
This site complies with the HONcode standard for trustworthy health information: