3 days popular7 days popular1 month popular3 months popular

Stuck In The Throat

It is a well known fact that children often swallow things. Children aged 6 months to 6 years are most often affected, but even adults sometimes end up with a stuck in their throats – and not only there. , Dusseldorf University Hospital, and his coauthors review this clinical problem in this issue of Deutsches Arzteblatt International (Dtsch Arztebl Int 2012; 109(50): 869-75).

Adults ingest mostly with their food. The most commonly swallowed objects are fish bones and . The clinical approach depends on the characteristics of the ingested foreign body (size, length, chemical composition, etc), the patient’s subjective symptoms, and the clinical findings. In 80% of cases, the ingested foreign body passes through the without any problems. Endoscopic intervention is required in 20% of cases, and surgery in less than 1%. Emergency esophagogastroduodenoscopy is recommended in case of complete occlusion of the esophagus or if sharp or pointed objects or batteries have been swallowed. Magnets and foreign bodies longer than 6 cm should be removed within 24 hours.

The so-called form a subgroup in this medical territory. Rule of thumb is that asymptomatic persons should be observed on the intensive care ward. No interventions should be undertaken. Symptomatic with signs of intoxication, in whom a lethal dose has to be assumed, should be medically stabilized and then immediately undergo laparotomy.



Deutsches Aerzteblatt International