GASTRIC FOREIGN BODIES

• Objects : coins ,toys, toy parts, magnets, batteries, safety pins, screws, marbles, bones, and food boluses

• History: asymptomatic - symptoms at the time of the ingestion: retrosternal pain, cyanosis, or dysphagia, stuck in the chest, refusal of feeds, drooling, respiratory symptoms( wheezing, stridor, choking)

• Diagnostic : Abdominal-radiographs (anteroposterior and lateral) - CT or MRI – Ultrasonography

• Management: Depend on: Patient's symptoms - shape - location - radio-opaque - magnetic properties

• Coin: Symtomatic:remove promptly, Asymtomatic:check the location of the coin radiograph about once a week, Asymtomatic (not pass 4ws): endoscopic

• Sharp or pointed objects: Remove promptly (use forcep and CAP)

• Batteries: Remove promptly (use basket or snare )

• Magnets: Remove promptly if accessible

TRICHOBEZOAR

• Management: Small size: Endoscopy remove

• Large size: Surgery

• Psychological exam