Johns Hopkins Manual for GI Endoscopic Nurses, Third Edition

Mouen Khashab, MD; Toshunia Robinson, MD; Anthony Kalloo, MD

Chapter 9: EGD for Removal of Foreign Objects and Food Bolus (continued)

Eduardo Gonzalez-Velez , MD

Most foreign body ingestions are accidental, with most cases involving children 6 months to 6 years of age. Adults with psychiatric disorders, alcohol intoxication, and prisoners are frequently involved in nonfood object ingestion. A myriad of foreign body ingestions have been described in the literature, ranging from coins, batteries, forks, toothbrushes, and paper clips to name a few. Complications from foreign body ingestion are aspiration, perforation, mediastinitis, bleeding, and fistula formation. Guidelines for the endoscopic removal of these objects have been published…