John Libbey Eurotext

Hépato-Gastro & Oncologie Digestive

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Foreign bodies of the upper and lower digestive tract Volume 29, issue 2, February 2022

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Author
Hôpital Y. Le Foll, Service d’hépato-gastro-entérologie, 10 rue Marcel Proust, 22027 Saint-Brieuc
* Correspondance

The management of foreign bodies of the digestive tract is a common reason for performing emergency endoscopies. Regarding the upper digestive system, food and objects accidentally swallowed or not might be found. The recommendations are clear and well established. Regarding the small intestine, if an intervention is necessary, it is most often a surgical one due to a complication. An enteroscopy may be proposed for video-capsule impaction. The management of intra-rectal foreign bodies is less well codified but, in the absence of perforative complications, is based on a bottom-up strategy ranging from digital extraction attempt to surgery with intermediate endoscopic stage. When endoscopic extraction procedures for foreign bodies from the digestive tract are performed appropriately, the success rates are high and complications rare most often allow the patient to be discharged quickly.