Food bolus impaction The most common esophageal foreign body in adults in the Western world is impacted meat or other food.8 En-doscopic treatment options include food extraction and advancement of the bolus into the stomach. Extraction may involve en bloc removal by using various grasping devices (eg, polypectomy snare, retrieval net, friction ...

ESGE recommends clinical observation without the need for endoscopic removal for management of asymptomatic patients with ingestion of blunt and small objects (except batteries and magnets). If feasible, outpatient management is appropriate (strong recommendation, low quality evidence).

2018年1月5日 · Endoscopic treatment options for esophageal FB impaction include the pull technique of removing the impacted FB en bloc or in pieces, with the use of various accessories like snare, net retriever, Dormia basket, and grasping forceps or the push technique of gently pushing the impacted FB by the endoscope into the stomach. 1-4 Because of the assu...

Soft esophageal bolus impaction is an emergency that requires skilled endoscopic removal if persistent obstructive symptoms do not resolve spontaneously after careful observation. Expedited care of these patients is crucial to avoid respiratory and mechanical complications.

In this meta-analysis of 6 studies, we demonstrated that the cap-assisted technique for endoscopic treatment of esophageal food bolus and/or FB impaction was associated with a significantly better technical success rate (P=0.004) and en bloc removal rate (P<0.001), with a shorter procedure time (P<0.001), compared to other conventional ...

Food bolus obstruction (FBO) is a common presentation to Emergency Department. Majority of patients are elderly, and most have underlying esophageal pathologies. Eosinophilic esophagitis (EoE) has become a leading cause of food impaction in young adults. Recurrent FBO occurs in approximately 20% due to persistent underlying esophageal pathologies.

2020年1月22日 · Endoscopic management remains the most effective method in removal of food bolus obstruction as well as treatment of any underlying structural esophageal pathology. Traditionally, endoscopic devices such as net retrievers, snares, baskets, biopsy forceps or tripod graspers have been used to remove food bolus, however cap-assisted technique ...

In most series, the success rate of endoscopic removal of food bolus impaction and foreign body removal from the upper digestive tract is around 95% . It has been showed in animal models that experienced endoscopists achieve endoscopic extraction of foreign body with higher success rates and faster than fellows-in-training [35] .

2023年8月1日 · Food impaction is a common endoscopic emergency that requires prompt removal of the impacted food bolus to avoid esophageal and extra-esophageal adverse events. 1 Conventional methods of removing impacted food boluses with devices such as polypectomy snares, rat-tooth forceps, alligator forceps, or polyp graspers are less effective and are time ...

2022年12月26日 · CHARLOTTE, N.C.—Cap-assisted endoscopic removal of an esophageal food bolus or food impaction has advantages over conventional approaches, according to a systematic review and meta-analysis conducted by a multi-institutional team of researchers.