Management of foreign bodies of the upper gastrointestinal tract

Gastroenterology. 1988 Jan;94(1):204-16. doi: 10.1016/0016-5085(88)90632-4.


In the United States, 1500 people die yearly of ingested foreign bodies of the upper gastrointestinal tract. The flexible esophagogastroduodenoscope has had a major impact on the treatment of these foreign bodies. The following discussion includes the management of coins, meat impaction, sharp and pointed objects, button batteries, and cocaine packets; and it reflects both a personal experience and a review of the literature. The uses of the rigid and the flexible endoscopes, the Foley catheter, glucagon, papain, and gas-forming agents are presented. The cost-effectiveness impact of the flexible endoscope is also detailed, and morbidity and mortality rates for foreign body management are included.

Publication types

  • Review

MeSH terms

  • Airway Obstruction / therapy
  • Costs and Cost Analysis
  • Digestive System*
  • Endoscopes
  • Esophagus*
  • Foreign Bodies / therapy*
  • Humans