ReviewDeutsches Arzteblatt international2012
Swallowed foreign bodies in adults.
Review in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 168 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
168 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Flexible versus rigid endoscopy in the management of esophageal foreign body impaction: systematic review and meta-analysis.World journal of emergency surgery : WJES · 2018Pooled it
- Case report on complex jewelry foreign body ingestion in pediatric population: When watchful waiting prevails over intervention.Radiology case reports · 2026Article
- Contained transverse colonic perforation caused by an ingested fish bone presenting as chronic abdominal pain: a case report.International journal of surgery case reports · 2026Article
- The Clinical Characteristics and Management of Dental-Related Foreign Body Accidents: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- Foreign body ingestion: how common is it really? A review and our experience managing a young woman: a case report.Journal of medical case reports · 2026Review
- Self-Harm-Associated Gastrointestinal Foreign Bodies: National Patterns of Management and Outcomes.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026Article
- Endoscopic Mucosal Incision for Removal of a Deeply Embedded Esophageal Fish Bone: A Case Report.Clinical case reports · 2026Article
- Successful management of uncommon embedded foreign body ingestion: a case report.Journal of medical case reports · 2026Article
- Intentional ingestion of a full-length table fork and multiple razor blades requiring combined enterotomy and gastrotomy: a case report.Journal of surgical case reports · 2026Article
- A 40-Year-Old Man With 2-Year Chronic Epigastric Pain From a Retained 18-cm Toothbrush: Endoscopic Management and Clinical Decision-Making.The American journal of case reports · 2026Article
- Article
- Gastric Polyposis Due to Foreign Bodies andReports (MDPI) · 2026Article
- Multiple Magnet Ingestion in a Child With an Overlooked Diagnosis Leading to Intestinal Perforation.Cureus · 2026Article
- Article
- Rectal Impaction of a Migratory Duck Bone After 72 Asymptomatic Hours: A Defused Time Bomb.Clinical case reports · 2026Article
- Intestinal perforation secondary to ingested chicken bone: case report and literature review.Frontiers in surgery · 2026Article
- Article
- Accidental Bottle Cap Ingestion in an Adult in a Resource-Limited Setting: A Case Report.International medical case reports journal · 2026Article
- The role of enteroscopy in the diagnosis and interventional management of small intestine diseases.Therapeutic advances in gastroenterology · 2026Review
- Management of a Large Bone Impaction in the Esophagus With Cola and Catheters: A Case Report and Literature Review.Clinical case reports · 2026Article
108 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundForeign-body ingestion is a common event most often seen in children from 6 months to 6 years of age. In adults, foreign bodies are usually ingested accidentally together with food. This happens more commonly in persons with certain pathological changes of the gastrointestinal tract.
methodsWe present a selective review of pertinent literature retrieved by a search in the PubMed database.
resultsThe foreign bodies most commonly ingested by adults are fish bones and chicken bones. The clinical approach to the problem depends on the type of material ingested and on the patient's symptoms and physical findings. In about 80% of cases, the ingested material passes uneventfully through the gastrointestinal tract; endoscopy is performed in about 20% of cases, and surgery in less than 1%. Emergency esophagogastroduodenoscopy (EGD) is recommended when the esophagus is completely occluded (because of the risk of aspiration and/or pressure necrosis), when the ingested object has a sharp point or edge (because of the risk of perforation, with ensuing mediastinitis or peritonitis), and when a battery has been ingested (because of the risk of necrosis and fistula formation). For non-occluding esophageal foreign bodies, including magnets, an urgent but non-emergency EGD within 12 to 24 hours is recommended.
conclusionMost patients can be treated conservatively by observation alone, but there should be a low threshold for deciding to proceed to endoscopic retrieval. Surgery is reserved for complicated cases.
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