Abstract
The large majority of ingested foreign bodies (FBs) pass through the gastrointestinal tract spontaneously without complications. Thus, treatment has traditionally included an initial period of observation. 1 The overall rate of perforation from foreign objects is estimated at less than 1%. 2, 3 However, when considering sharp objects as a separate group, the rate of perforation increases to 15% to 35%, 4, 5 so that early extraction is usually advocated. After the advent of fiberoptic endoscopy, a wide variety of ingested FBs have been successfully removed from the gut. Nevertheless, a number of severe complications can occur during extraction, especially of sharp objects. 1, 6, 7 Several techniques for safe endoscopic retrieval have been proposed, 7-2° most of which can, however, be used only for the extraction of FBs of fixed size and form. We previously described our preliminary experience in adults and children with a new, commercially available protector device specially designed for the endoscopic removal of sharp FBs of the upper gastrointestinal tract. 21, 22 We report herein our 5-year experience with this device in removing a wide variety of large, sharp-pointed g astroesophageal objects.
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