Pathway for the Evaluation/Treatment of the Child with Foreign Body Ingestion

Bezoars

Trichobezoars Consult General Surgery and GI
Large trichobezoars are almost impossible to remove endoscopically
Do not use electrocautery to break up hair.
Phytobezoars Consult GI
Soda (Coca Cola) has been demonstrated to help dissolve these bezoars.
Endoscopic management depends on size of bezoar and length of expected procedure.
Endotracheal intubation is required during procedure.