Endoscopic removal of foreign bodies in the upper gastro-intestinal tract: experiences of a gastroenterology unit. Report on a series of 92 cases

Background: Foreign body ingestion is frequent in children and in specific high risk groups of adults such as those with underlying esophageal disease, prisoners, the mentally retarded and those with psychiatric illness. Aims: To report the management and outcomes of patients with suspected ingestion of foreign bodies treated by endoscopic extraction. Methods: Between 1985 and 2007 a total of 72 patients with 102 suspected foreign bodies underwent endoscopic procedures. Results: A total of 92 foreign bodies were found in 62 patients. In the pediatric population, coins were the most frequent foreign body ingested (57 %) and in prisoners, metal objects were the most frequent (82 %). Bolus food impaction was located in the esophagus, coins and metallic foreign bodies in the stomach. Endoscopic extraction was possible in 92 % of cases without any complications. Conclusion: Endoscopic removal of foreign bodies located in the upper gastro-intestinal tract is safe and successful.