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Ingested foreign body
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=== Treatment approach === ** Medical management *** Glucagon is probably not helpful *** Meat tenderisers have not been proven to help *** Coke is unproven ** All FBs in oesophagus require removal within 24 hours ** Emergent endoscopy (within 2 hours, or maximum 6) for the following: *** Complete oesophageal obstruction - drooling, inability to handle secretions *** Disk batteries in oesophagus - contact with both sides can allow discharge of electrical current **** Damage to oesophagus can occur within two hours **** Multiple studies support the use of honey/sucralfate in interval between ingestion and retrieval - neutralises pH **** Acetic acid can be used after removal - 50mL of 0.2% acetic acid - reduced tissue destruction *** Sharp objects in oesophagus ** Urgent endoscopy (24 hours) for all other objects
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