Action
Upper/proximal esophageal location
- Obtain GI or ENT consult for endoscopic vs laryngoscopic removal of foreign bodies above level of cricoid cartilage
- If significant symptoms develop (drooling, stridor), consider intubation
Lower esophageal location
- Perform urgent (within 24 hr) endoscopic removal by GI for asymptomatic blunt esophageal foreign bodies (Class II)
- Consider glucagon/diazepam for distal esophageal foreign bodies (Class III)
Stomach and intestinal location
- Blunt objects in stomach or intestines are likely to pass spontaneously; stool exams and follow-up repeat x-ray in 2-3 wk (Class II)
