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

Ingestion of Radiopaque or
Suspected Radiotranslucent Sharp Object
Esophagus
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EMERGENT
ENDOSCOPIC REMOVAL
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Consult
ENT: Proximal, mid-esophagus
GI: Lower esophagus
NPO, IVF
Alert OR 4-5444
Stomach/Duodenum
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Consult GI
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Symptoms
and/or
FB size:
  • Length ≥ 3 cm
  • Width ≥ 2 cm
No Symptoms
and
FB size:
  • Length < 3 cm
  • Width < 2 cm
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URGENT
ENDOSCOPIC REMOVAL
Reliable follow-up
FB likely to pass
Consider Consult
General Surgery
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Follow-up X-ray
2-3 days
Beyond Duodenum
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Consult GI
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Symptom
No Symptoms
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Admit
Consult
General Surgery
Discharge
Sharp end trailing
Reliable follow-up
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Follow-up X-ray 2-3 days
Posted: July 2013
Authors: B. Sahn, MD, P. Mamula, MD, F. Henretig MD, J. Collins, MD, S. Sobol, MD, C. Ford, MD