Endoscopy 2025; 57(S 02): S369
DOI: 10.1055/s-0045-1805926
Abstracts | ESGE Days 2025
ePosters

Useful methods for safe removal of foreign bodies in the gastrointestinal tract from esophagus to colon

J S Moon
1   Inje University Busan Paik Hospital, Busan, Republic of Korea
,
S J Yu
1   Inje University Busan Paik Hospital, Busan, Republic of Korea
,
S R Jee
1   Inje University Busan Paik Hospital, Busan, Republic of Korea
,
S Y Seol
2   Isam Hospital, Busan, Republic of Korea
› Author Affiliations
 
 

    Aims ESGE Guideline recommends emergent therapeutic endoscopy for foreign bodies inducing complete esophageal obstruction, sharp-pointed objects or batteries in the esophagus, for foreign bodies in the stomach such as sharp-pointed objects, magnets, batteries and large/long objects. ESGE suggests the use of suitable extraction devices according to the type and location of the ingested foreign body. We have reviewed useful methods for safe endoscopic foreign body removal from esophagus to colon.

    Methods We have reviewed 19 cases of gastrointestinal foreign bodies diagnosed by endoscopy in the Seoul Paik Hospital, Korea retrospectively. We checked patient’s characteristics, underlying diseases, kinds and locations of gastrointestinal foreign bodies and methods with extraction devices, success rates and complications of foreign body removal.

    Results The location of foreign bodies was esophagus 8, stomach 9, and colon 2. The mean age of patients was 57.7 (27-75) years. Foreign bodies were chicken bones 3, fish bones 2, toothpicks 2, clips 2, parasite 2, and meat lump, nail, needle, drug package, stone, silica gel package, coin, refill for ball-point pen each. The only underlying disease observed was esophageal stricture in esophageal meat lump case. Extraction devices used for foreign body removal were transparent caps 9 and protective hood 1 on endoscopy tip for safety, grasping forceps 10, biopsy forceps 3, retrieval net 2, snare 2, retrieval grasper 1 for foreign body removal. The success rate for foreign body removal was 100%. The complications were most common in esophageal foreign bodies with three esophageal lacerations.

    Conclusions Endoscopy has a high success rate in removing ingested foreign bodies using suitable extraction devices according to the type and location of the ingested foreign bodies. Most complications during endoscopic foreign body removal were observed in esophageal foreign bodies and esophageal foreign bodies need careful and prompt endoscopic removal.


    Conflicts of Interest

    Authors do not have any conflict of interest to disclose.

    Publication History

    Article published online:
    27 March 2025

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