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

Non-Radiopaque Sharp Objects and
Special Circumstances
Open Safety Pin
Fish/Chicken Bones
Toothpick
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Esophagus
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EMERGENT
ENDOSCOPIC REMOVAL
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Consult: ENT, General Surgery
Notify OR 4-5444
NPO, IVF
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Stomach/Beyond
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Consult GI
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Urgent Endoscopic Removal Object within reach in stomach, duodenum
Consult Surgery Symptoms, object not within reach of endoscope
Serial X-ray No symptoms, object not within reach
RADIOLUSCENT SHARP FB SUSPECTED
  • Avoid UGI
    • May obscure visualization of object on endoscopy
    • Increases risk of aspiration
  • Endoscopy preferred
  • CT scan may be considered in special circumstances
Posted: July 2013
Authors: B. Sahn, MD, P. Mamula, MD, F. Henretig MD, J. Collins, MD, S. Sobol, MD, C. Ford, MD