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Chronic Esophageal Foreign Body
Randy R. Richardson, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Foreign body in esophagus for prolonged period of time
          • Usually causes airway or feeding symptoms in infants & toddlers

        IMAGING

        • General Features

          • Radiographic Findings

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  Selected References

                                  1. Grey NEO et al: Magnetic resonance imaging findings following button battery ingestion. Pediatr Radiol. 51(10):1856-66, 2021
                                  2. Dipasquale V et al: Managing pediatric foreign body ingestions: a 10-year experience. Pediatr Emerg Care. ePub, 2020
                                  3. Ergun E et al: An algorithm for retrieval tools in foreign body ingestion and food impaction in children. Dis Esophagus. 34(1), 2020
                                  4. Esparaz JR et al: Esophageal foreign body management in children: can it wait? J Laparoendosc Adv Surg Tech A. 30(12):1286-8, 2020
                                  5. Riedesel EL et al: Serial MRI findings after endoscopic removal of button battery from the esophagus. AJR Am J Roentgenol. 215(5):1238-46, 2020
                                  6. Yang W et al: Systematic review of rigid and flexible esophagoscopy for pediatric esophageal foreign bodies. Int J Pediatr Otorhinolaryngol. 139:110397, 2020
                                  7. Agarwal SS et al: Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging. BMJ Case Rep. 12(5), 2019
                                  8. Mori T et al: Another Useful application of point-of-care ultrasound: detection of esophageal foreign bodies in pediatric patients. Pediatr Emerg Care. 35(2):154-6, 2019
                                  9. Yogo N et al: Successful management of airway and esophageal foreign body obstruction in a child. Case Rep Emerg Med. 2019:6858171, 2019
                                  10. Shatani N et al: Chest radiograph alone is sufficient as the foreign body survey for children presenting with coin ingestion. Pediatr Emerg Care. ePub, 2018
                                  11. Pugmire BS et al: Imaging button battery ingestions and insertions in children: a 15-year single-center review. Pediatr Radiol. 47(2):178-85, 2017
                                  12. Kramer RE et al: Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 60(4):562-74, 2015
                                  13. Schramm JC et al: Chronic cervical esophageal foreign bodies in children: surgical approach after unsuccessful endoscopic management. Ann Otol Rhinol Laryngol. 123(1):19-24, 2014
                                  14. Glover P et al: Esophageal diverticulum arising from a prolonged retained esophageal foreign body. J Pediatr Surg. 48(2):e9-12, 2013
                                  15. Brumbaugh D et al: Hemorrhagic complications following esophageal button battery ingestion. Arch Otolaryngol Head Neck Surg. 137(4):416; author reply 416-7, 2011
                                  16. Narasimhappa GM et al: Impacted esophageal foreign body mistaken for chronic pharyngitis. Indian J Pediatr. 76(8):862, 2009
                                  17. Miller RS et al: Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 68(3):265-72, 2004
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Foreign body in esophagus for prolonged period of time
                                          • Usually causes airway or feeding symptoms in infants & toddlers

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • Fluoroscopic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  Selected References

                                                                  1. Grey NEO et al: Magnetic resonance imaging findings following button battery ingestion. Pediatr Radiol. 51(10):1856-66, 2021
                                                                  2. Dipasquale V et al: Managing pediatric foreign body ingestions: a 10-year experience. Pediatr Emerg Care. ePub, 2020
                                                                  3. Ergun E et al: An algorithm for retrieval tools in foreign body ingestion and food impaction in children. Dis Esophagus. 34(1), 2020
                                                                  4. Esparaz JR et al: Esophageal foreign body management in children: can it wait? J Laparoendosc Adv Surg Tech A. 30(12):1286-8, 2020
                                                                  5. Riedesel EL et al: Serial MRI findings after endoscopic removal of button battery from the esophagus. AJR Am J Roentgenol. 215(5):1238-46, 2020
                                                                  6. Yang W et al: Systematic review of rigid and flexible esophagoscopy for pediatric esophageal foreign bodies. Int J Pediatr Otorhinolaryngol. 139:110397, 2020
                                                                  7. Agarwal SS et al: Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging. BMJ Case Rep. 12(5), 2019
                                                                  8. Mori T et al: Another Useful application of point-of-care ultrasound: detection of esophageal foreign bodies in pediatric patients. Pediatr Emerg Care. 35(2):154-6, 2019
                                                                  9. Yogo N et al: Successful management of airway and esophageal foreign body obstruction in a child. Case Rep Emerg Med. 2019:6858171, 2019
                                                                  10. Shatani N et al: Chest radiograph alone is sufficient as the foreign body survey for children presenting with coin ingestion. Pediatr Emerg Care. ePub, 2018
                                                                  11. Pugmire BS et al: Imaging button battery ingestions and insertions in children: a 15-year single-center review. Pediatr Radiol. 47(2):178-85, 2017
                                                                  12. Kramer RE et al: Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 60(4):562-74, 2015
                                                                  13. Schramm JC et al: Chronic cervical esophageal foreign bodies in children: surgical approach after unsuccessful endoscopic management. Ann Otol Rhinol Laryngol. 123(1):19-24, 2014
                                                                  14. Glover P et al: Esophageal diverticulum arising from a prolonged retained esophageal foreign body. J Pediatr Surg. 48(2):e9-12, 2013
                                                                  15. Brumbaugh D et al: Hemorrhagic complications following esophageal button battery ingestion. Arch Otolaryngol Head Neck Surg. 137(4):416; author reply 416-7, 2011
                                                                  16. Narasimhappa GM et al: Impacted esophageal foreign body mistaken for chronic pharyngitis. Indian J Pediatr. 76(8):862, 2009
                                                                  17. Miller RS et al: Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 68(3):265-72, 2004