Distal Esophagus Foreign Bodies


Pathophysiology

Symptoms

Physical Exam

Treatment

  1. Food bolus impaction
  2. Other esophageal foreign body: STAT GI referral for sharp objects, perf, severe symptoms, batteries, drugs; otherwise
  3. Button battery ingestion

Disposition

  1. If FB removed/passed & pt is asymptomatic, send home w/stool checks; instruct to return for signs of perf, obstruction, bleed; and urgent f/u w/endoscopist
  2. If object sharp, large, bulky, risk of perforation/obstruction, or if pt intoxicated