Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 16, 2025; 17(8): 110863
Published online Aug 16, 2025. doi: 10.4253/wjge.v17.i8.110863
Removal of gastrointestinal foreign body
Dusan Dj Popovic
Dusan Dj Popovic, Faculty of Medicine, University of Belgrade, Belgrade 11000, Serbia
Dusan Dj Popovic, Department for Gastroenterology and Hepatology, Clinic for Internal Medicine, University Clinical Hospital Center “Dr Dragisa Misovic-Dedinje”, Belgrade 11000, Serbia
Author contributions: Popovic DD conceptualized the manuscript, wrote the original draft, and edited and approved the final version of the manuscript.
Supported by Ministry of Science, Technological Development and Innovations, Republic of Serbia, No. 451-03-66/2024-03/200110.
Conflict-of-interest statement: Dr. Popovic reports grants from Ministry of Science, Technological Development and Innovations, Republic of Serbia, during the conduct of the study.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dusan Dj Popovic, MD, PhD, Assistant Professor, Deputy Director, Faculty of Medicine, University of Belgrade, Dr. Subotica 8, Belgrade 11000, Serbia. pduschan@gmail.com
Received: June 17, 2025
Revised: July 13, 2025
Accepted: August 1, 2025
Published online: August 16, 2025
Processing time: 59 Days and 6.1 Hours
Abstract

The minireview titled “Modern endoscopist’s toolbox: Innovations in foreign body removal” by Shahid and published in the World Journal of Gastrointestinal Endoscopy provided a clear and comprehensive overview of endoscopic management of gastrointestinal foreign bodies. It will serve as a valuable resource for endoscopists involved in the diagnosis and treatment of such cases. Several key and controversial aspects of patient management were highlighted in a meaningful way, including the importance of thorough medical history-taking, appropriate use of radiological imaging, and the selection of suitable endoscopic extraction techniques. An individualized, multidisciplinary approach is essential for diagnosis and treatment. While current guidelines offer significant support, they cannot replace the judgment of an experienced endoscopist working with a well-trained team.

Keywords: Foreign body removal; Endoscopy; Upper endoscopy; Forceps; Snare; Anesthesia

Core Tip: The effective management of gastrointestinal foreign bodies relies on individualized clinical judgment as well as established guidelines. While current guidelines offer significant support, they cannot replace the judgment of an experienced endoscopist working with a well-trained team. Thorough pre-endoscopic assessment, appropriate imaging, skilled endoscopic technique, and multidisciplinary coordination, especially in high-risk cases, are essential for safe and successful outcomes.