Endoscopic Management of Foreign Bodies (part 1)

Foreign body ingestion and food impaction are everyday emergencies for GI endoscopists. This Full Course lecture walks through planning and safe extraction: align the object with the lumen axis, clear fluid for a clean view, and protect mucosa with an overtube or hood as you withdraw. You will see a duodenal sharp-object case managed with rat-tooth forceps and overtube, plus the epidemiology and risk patterns that shape urgency, from coins and fishbones to dental prostheses, intentional ingestion, and iatrogenic objects such as migrated stents. Timing (emergency vs urgent vs non-urgent), airway decisions, when plain films or CT help, and why barium is not recommended for bolus cases are covered before the device tray. The five-element emergency kit (snare, overtube, cap/hood, net, forceps) is reviewed with channel-size caveats for baskets. Part 1 closes on sharp objects (needles, pins, toothpicks) with torquing, luminal dilation with air/CO2, and enteroscopy-overtube tricks. Part 2 continues with coins, larger objects, and extreme cases.