Esophageal Foreign Body: Ingestion vs Impaction
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 19 October 2017
⏱️ 15 minutes
🧾️ Download transcript
Summary
Foreign body or large food bolus ingestion occurs primarily in children and in the mentally impaired older adult. Food (meat) bolus impaction above a pre-existing esophageal stricture is the most common cause in adults. The majority of foreign bodies in children are coins. Today, were going to get into the nitty gritty of food impaction and foreign body ingestion!
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Transcript
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| 0:00.0 | What's up guys? Today we're going to talk about esophageal food |
| 0:04.2 | boluses, also known as impactions. We're going to talk about how these |
| 0:07.0 | patients will present what risk factors to look out for, the most common |
| 0:10.2 | causes, treatment, and how do we manage these patients. |
| 0:12.7 | Asophageal food boluses, also known as impactions, |
| 0:15.3 | can be defined when food gets stuck in the esophagus |
| 0:17.9 | causing obstruction, which can either be partial or complete, |
| 0:21.2 | whereas an esophageo form body ingestion can be defined by any object originating |
| 0:25.9 | outside the human body that's ingested. Accidental esophageal form body and large |
| 0:30.7 | body ingestions primarily occur in children are mentally impaired adults. |
| 0:35.0 | The most common foreign body ingestions in children are coins such as pennies, nickels, or quarters, |
| 0:40.0 | and other common ingestions in children include button batteries, sharp objects such as |
| 0:45.2 | needles, straighten paper clips, and fish bones, food impactions such as meat, but these are |
| 0:50.1 | really actually going to be rare in children. |
| 0:52.4 | Magnets, commonly found in toys and |
| 0:54.4 | long objects such as toothbrushes, spoons, or batteries, super-absorbing polymers, objects |
| 0:59.7 | containing lead such as fishing sinkers, BB gun pellets, and even some toys. |
| 1:04.4 | However, esophagy of foreign body impactions once again more commonly occur in adults. |
| 1:09.1 | The most common foods causing impaction include meat, fish, and chicken bones, but what causes these obstructions? |
| 1:14.4 | Briefly, let's talk about some anatomy of thisophagus because foreign body impactions |
| 1:18.6 | typically occur at sites of physiologic or pathologic narrowing. The esophagus has three areas of physiologic or pathologic narrowing. |
| 1:23.0 | The esophagus has three areas of physiologic narrowing, the upper esophageal sphincter, |
... |
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