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Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The lodgement of foreign bodies in the esophagus is
influenced by:
1. The shape of the foreign body (disc-shaped, pointed, irregular).
2. Resiliency of the object (safety pins).
3. The size of the foreign body.
4. Narrowing of the esophagus, spasmodic or organic, normal, or
5. Paralysis of the normal esophageal propulsory mechanism.

The lodgement of a bolus of ordinary food in the esophagus is strongly
suggestive of a preexisting narrowing of the lumen of either a
spasmodic or organic nature; a large bolus of food, poorly masticated
and hurriedly swallowed, may, however, become impacted in a perfectly
normal esophagus.

Carelessness is the cause of over 80 per cent of the foreign bodies in
the esophagus (see Bibliography, 29).

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