Foreign Body Ingestion Clinical Pathway — Emergency Department, ICU, and Inpatient
Foreign Body Ingestion Clinical Pathway — Emergency Department, ICU, and Inpatient
Lead-containing Foreign Bodies or Large Burdens of Lead Paint Chips
Lead-containing FBs may be result in significantly elevated blood lead levels within 24 hrs
Gastric location
- Consult Toxicology and GI, obtain baseline blood lead level.
- Prompt endoscopic removal should be considered.
- Proton pump inhibitor and prokinetic therapy may also be of value.
Location beyond pylorus
- Consult Toxicology and GI, obtain baseline blood lead level.
- Whole bowel irrigation with Golytely may be of value, especially for large burdens of lead paint chips.
- Rarely, there may be a role for endoscopy or surgery.