Maiss J, Raithel M, Nägel A
Medizinische Klinik, Universität Erlangen-Nürnberg, Deutschland.
HNO. 2012 Sep;60(9):792, 794-7. doi: 10.1007/s00106-012-2489-y.
Foreign bodies in the upper GI tract are an important medical problem and cause about 5% of emergency endoscopies. Endoscopic removal is the method of the choice and is successful in 99% of cases. Nevertheless, endoscopic removal is not necessary in every case because most foreign bodies can pass through the digestive tract and be evacuated in the natural way. An immediate emergency endoscopy is indicated for foreign bodies in the esophagus with signs of obstruction, which is present in more than 75% of cases, because the risk of complications increases with retention time. The endoscopist has myriad possibilities for finding the best and safest way to extract the foreign body.
