Esophageal foreign bodies: our experience


  • Rahil Muzaffar Department of ENT, GMC Doda, Jammu and Kashmir, India
  • Altaf Malik Department of Surgery, GMC Doda, Jammu and Kashmir, India
  • Sumat Ul Khurshid Department of Pathology, GMC Doda, Jammu and Kashmir, India



Esophagoscopy, Cricopharynx, Perforation, Inert


Background: The objective of this prospective study was to report our experience of presentation and management of esophageal foreign bodies at GMC Doda.

Methods: This prospective study was conducted in the department of ENT at GMC Doda from January 2019 to October 2022. During this time period 43 patients of foreign body ingestion were admitted in the department of ENT. Of the 43 patients 27 were male and 16 were female patients. 34 were children and 9 patients were adults. After doing through examination, plain radiograph was done on admission in all patients. Age appropiate rigid endoscope was used for foreign body extraction under general anaesthesia.

Results: In children the coin was the most common type of foreign body (28 patients, 82.3%), with about 39% managed conservatively after overnight observation,as the coin passed on spontaneously. In adults chicken bone was the most common type of foreign body (5 patients, 55%). Upper esophagus (cricopharynx) was the most common site of foreign body impaction in both adults and pediatric patients. Rigid endoscope was used in all patients requiring intervention.

Conclusions: Our study suggests that pediatric patients have higher incidence of foreign body ingestion as compared to adults. Management depends on the type of foreign body ingested as many can pass on spontaneously without requiring any invasive intervention. Also the rigid endoscope is a safe, effective and cheaper instrument that is used for removal of foreign body from esophagus.


Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc. 1995;41(1):39-51.

Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg 1999;34:1472-6.

Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med. 1998;5(3):319-23.

Panieri E, Bass DH. The management of ingested foreign bodies in children--a review of 663 cases. Eur J Emerg Med. 1995;2(2):83-7.

ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73(6):1085-91.

Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardiothorac Surg. 2002;21(4):653-6.

Hsu Wc, Sheen Ts, Lin Cd, Tan Ct, Yeh Th, Lee Sy. Clinical experiences of removing foreign bodies in the airway and esophagus with a rigid endoscope: a series of 3217 cases from 1970 to 1996. Otolaryngol Head Neck Surg. 2000;122(3):450-4.

Navarro JR, Bernal A, Alonso E. Esophageal foreign bodies. Our ten years of experience. Acta Otorrinolaringol Esp. 2003;54(4):281-5.

Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak. 2004;14(4):218-20.

Gmeiner D, Rahden BH, Meco C, Hutter J, Oberascher G, Stein HJ. Flexible versus rigid endoscopy for treatment of foreign body impaction in the esophagus. Surg Endosc. 2007;21(11):2026-9.

Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardiothorac Surg. 1998;13(5):494-8.

Evans RM, Ahuja A, Williams S, Hasselt CA. The lateral neck radiograph in suspected impacted fish bones--does it have a role? Clin Radiol. 1992;46(2):121-3.

Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc. 1995;41(1):33-8.

Nadir A, Sahin E, Nadir I, Karadayi S, Kaptanoglu M. Esophageal foreign bodies: 177 cases. Dis Esophagus. 2011;24(1):6-9.

Türkyilmaz A, Aydin Y, Yilmaz O, Aslan S, Eroğlu A, Karaoğlanoğlu N. Esophageal foreign bodies: analysis of 188 cases. Ulus Travma Acil Cerrahi Derg. 2009;15(3):222-7.

Rybojad B, Niedzielska G, Niedzielski A, Rudnicka-Drozak E, Rybojad P. Esophageal foreign bodies in pediatric patients: a thirteen-year retrospective study. ScientificWorldJournal. 2012;2012:102642.

Murray AD, Mahoney EM, Holinger LD. Foreign bodies of the airway and esophagus. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, eds. Otolaryngology-Head and Neck Surgery. 3rd ed. St Louis: Mosby-Year Book; 1998: 377-382.

Koirala K, Rai S, Chettri S, Shah R. Foreign body in the esophagus- comparison between adult and paediatric population. Nepal J Med Sci 2012;1:42-4.

Bothwell DN, Mair EA, Cable BB. Chronic ingestion of a zinc-based penny. Pediatrics 2003;111:689-91.

Berthold LD, Moritz JD, Sönksen S, Alzen G. Esophageal foreign bodies: removal of the new euro coins with a magnet tube. Rofo. 2000;174(9):1096-8.

Bennett DR, Baird CJ, Chan KM, Crookes PF, Bremner CG, Gottlieb MM, et al. Zinc toxicity following massive coin ingestion. Am J Forensic Med Pathol. 1997;18(2):148-53.

Singh B, Puri ND, Kakar PK. A fatal denture in the oesophagus. J Laryngol Otol. 1978;92(9):829-31.

Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastroenterol Rep. 2000;7(3):212-8.

Sittitrai P, Pattarasakulchai T, Tapatiwong H. Esophageal foreign bodies. J Med Assoc Thai. 2000;83(12):1514-8.






Original Research Articles