Foreign Body, Esophageal
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- Esophageal foreign bodies (FBs) typically lodge at 3 sites of physiologic constriction:
- Cricopharyngeal muscle—63%, most common (C6)
- Gastroesophageal junction—20% (T11)
- Aortic arch—10% (T4)
- 90% of ingested FBs pass spontaneously.
- 10–20% are removed endoscopically, and 1% or less require surgery.
- Most common adult and adolescent FBs are food boluses and bones
- Increased risk:
- Edentulous adults
- Intoxicated patients
- Patients with underlying esophageal disease: Schatzki B-rings or peptic strictures are most common
- 80% of FB ingestions occur in pediatric age group, peak ages 6 mo–6 yr, particularly younger than 2 yr.
- Coins are most common:
- Most common: 80% of esophageal FBs
- 2 additional areas of constriction: Thoracic inlet (T1) and tracheal bifurcation (T6)