Esophageal foreign body removal with foley catheter - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:52:34Z

Prepared the page for translation

← Older revision		Revision as of 22:52, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
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	*Ideal for coins		*Ideal for coins
	*No reports of airway compromise		*No reports of airway compromise


	==Indications==		==Indications==
	*Recently [[ingested foreign body\|ingested]] (<24-48h), smooth, blunt, radiographically opaque objects
			*Recently [[Special:MyLanguage/ingested foreign body\|ingested]] (<24-48h), smooth, blunt, radiographically opaque objects
	*Button batteries ingested <2h with no endoscopy available		*Button batteries ingested <2h with no endoscopy available


	==Contraindications==		==Contraindications==

	*Total esophageal obstruction		*Total esophageal obstruction
	**Air-Fluid levels on XR or esophagogram		**Air-Fluid levels on XR or esophagogram
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	*Sharp FB's		*Sharp FB's
	*Button battery present >2 hours		*Button battery present >2 hours


	==Equipment Needed==		==Equipment Needed==

	*Airway equipment and suction		*Airway equipment and suction
	*Magill and bayonet forceps		*Magill and bayonet forceps
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	*Sedation meds		*Sedation meds
	*Pediatric restraint devices		*Pediatric restraint devices


	==Procedure==		==Procedure==

	*Localize FB on XR or Fluoro, if available		*Localize FB on XR or Fluoro, if available
	*Give sedation as needed (ketamine is ideal in kids)		*Give sedation as needed (ketamine is ideal in kids)
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	*Once coin is in mouth grab with forceps or ask patient to expectorate it		*Once coin is in mouth grab with forceps or ask patient to expectorate it
	*If no FB is removed, obtain another XR to see if the object passed to the stomach or moved.		*If no FB is removed, obtain another XR to see if the object passed to the stomach or moved.


	==Complications==		==Complications==

	*Most are due to passage of foley through nose		*Most are due to passage of foley through nose
	**Nosebleed		**Nosebleed
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	*Laryngospasm and aspiration		*Laryngospasm and aspiration
	*Failure to remove FB		*Failure to remove FB


	==Disposition==		==Disposition==

	*No follow up needed for pediatric patients, if FB successfully removed and patient remains asymptomatic		*No follow up needed for pediatric patients, if FB successfully removed and patient remains asymptomatic
	*Arrange follow up for gastric FB's		*Arrange follow up for gastric FB's
	*If unsuccessful, refer for immediate endoscopy		*If unsuccessful, refer for immediate endoscopy
	*All adults should be referred for endoscopy to rule out esophageal pathology		*All adults should be referred for endoscopy to rule out esophageal pathology


	==See Also==		==See Also==
	*[[Esophageal foreign body]]
	*[[Foreign bodies]]		*[[Special:MyLanguage/Esophageal foreign body\|Esophageal foreign body]]
			*[[Special:MyLanguage/Foreign bodies\|Foreign bodies]]


	==External Links==		==External Links==


	===Videos===		===Videos===

			</translate>
	{{#widget:YouTube\|id=k9cG1T20kl0}}		{{#widget:YouTube\|id=k9cG1T20kl0}}
			<translate>




	==References==		==References==

	<references/>		<references/>

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1 at 20:20, 1 November 2023

2023-11-01T20:20:20Z

← Older revision		Revision as of 20:20, 1 November 2023
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	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
			[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]
	*85-100% success rates		*85-100% success rates
	*0-2% complication rates		*0-2% complication rates

Rossdonaldson1 at 20:17, 1 November 2023

2023-11-01T20:17:01Z

← Older revision		Revision as of 20:17, 1 November 2023
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	==Background==		==Background==
			[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
			[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
	*85-100% success rates		*85-100% success rates
	*0-2% complication rates		*0-2% complication rates

Blsimpso at 02:37, 29 June 2021

2021-06-29T02:37:17Z

← Older revision		Revision as of 02:37, 29 June 2021
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	*[[Esophageal foreign body]]		*[[Esophageal foreign body]]
	*[[Foreign bodies]]		*[[Foreign bodies]]

			==External Links==

			===Videos===
			{{#widget:YouTube\|id=k9cG1T20kl0}}



	==References==		==References==

ClaireLewis at 16:06, 9 October 2019

2019-10-09T16:06:14Z

← Older revision		Revision as of 16:06, 9 October 2019
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	==Indications==		==Indications==
	*Recently ingested (<24-48h), smooth, blunt, radiographically opaque objects		*Recently [[ingested foreign body\|ingested]] (<24-48h), smooth, blunt, radiographically opaque objects
	*Button batteries ingested <2h with no endoscopy available		*Button batteries ingested <2h with no endoscopy available

Mholtz at 03:16, 4 February 2017

2017-02-04T03:16:18Z

← Older revision		Revision as of 03:16, 4 February 2017
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	==References==		==References==
	<references/>		<references/>
	*Roberts: Clinical Procedures in EM, 5th

	[[Category:~~procedures~~]] [[Category:GI]]		[[Category:Procedures]]
			[[Category:GI]]

Rossdonaldson1: Text replacement - "r/o" to "rule out"

2016-07-30T13:00:29Z

Text replacement - "r/o" to "rule out"

← Older revision		Revision as of 13:00, 30 July 2016
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	*Arrange follow up for gastric FB's		*Arrange follow up for gastric FB's
	*If unsuccessful, refer for immediate endoscopy		*If unsuccessful, refer for immediate endoscopy
	*All adults should be referred for endoscopy to ~~r/o~~ esophageal pathology		*All adults should be referred for endoscopy to rule out esophageal pathology

	==See Also==		==See Also==

Rossdonaldson1: Text replacement - "f/u" to "follow up"

2016-07-13T10:41:29Z

Text replacement - "f/u" to "follow up"

← Older revision		Revision as of 10:41, 13 July 2016
Line 51:		Line 51:

	==Disposition==		==Disposition==
	*No ~~f/u~~ needed for pediatric patients, if FB successfully removed and patient remains asymptomatic		*No follow up needed for pediatric patients, if FB successfully removed and patient remains asymptomatic
	*Arrange ~~f/u~~ for gastric FB's		*Arrange follow up for gastric FB's
	*If unsuccessful, refer for immediate endoscopy		*If unsuccessful, refer for immediate endoscopy
	*All adults should be referred for endoscopy to r/o esophageal pathology		*All adults should be referred for endoscopy to r/o esophageal pathology

Neil.m.young: Text replacement - " pt " to " patient "

2016-07-02T14:13:44Z

Text replacement - " pt " to " patient "

Neil.m.young: Text replacement - "Pt " to "Patient "

2016-07-01T22:48:15Z

Text replacement - "Pt " to "Patient "

← Older revision		Revision as of 22:48, 1 July 2016
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	*Total esophageal obstruction		*Total esophageal obstruction
	**Air-Fluid levels on XR or esophagogram		**Air-Fluid levels on XR or esophagogram
	**Pt unable to handle secretions		**Patient unable to handle secretions
	*Presence of FB greater than 24-48h (higher risk of pressure necrosis)		*Presence of FB greater than 24-48h (higher risk of pressure necrosis)
	*Evidence of esophageal perforation		*Evidence of esophageal perforation

← Older revision		Revision as of 14:13, 2 July 2016
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	*Localize FB on XR or Fluoro, if available		*Localize FB on XR or Fluoro, if available
	*Give sedation as needed (ketamine is ideal in kids)		*Give sedation as needed (ketamine is ideal in kids)
	*Place pt in Trendelenberg, supine, lat decub, or prone		*Place patient in Trendelenberg, supine, lat decub, or prone
	*Check balloon for symmetric inflation		*Check balloon for symmetric inflation
	*For a child, advance a 12-16F foley orally with balloon deflated		*For a child, advance a 12-16F foley orally with balloon deflated
	*Advance tip distal to object (if fluoro is used, inject with contrast to view tip)		*Advance tip distal to object (if fluoro is used, inject with contrast to view tip)
	*Inflate balloon with 3-5 cc saline		*Inflate balloon with 3-5 cc saline
	*Stop inflation if pt complains of pain		*Stop inflation if patient complains of pain
	*Apply gentle traction to bring coin proximally		*Apply gentle traction to bring coin proximally
	*Terminate attempt if there is excessive friction		*Terminate attempt if there is excessive friction
	*If the balloon slips past the object, try again with an additional 1-2cc saline in balloon		*If the balloon slips past the object, try again with an additional 1-2cc saline in balloon
	*Once coin is in mouth grab with forceps or ask pt to expectorate it		*Once coin is in mouth grab with forceps or ask patient to expectorate it
	*If no FB is removed, obtain another XR to see if the object passed to the stomach or moved.		*If no FB is removed, obtain another XR to see if the object passed to the stomach or moved.

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	==Disposition==		==Disposition==
	*No f/u needed for pediatric patients, if FB successfully removed and pt remains asymptomatic		*No f/u needed for pediatric patients, if FB successfully removed and patient remains asymptomatic
	*Arrange f/u for gastric FB's		*Arrange f/u for gastric FB's
	*If unsuccessful, refer for immediate endoscopy		*If unsuccessful, refer for immediate endoscopy