Foreign body impaction in the upper digestive tract is not an infrequent emergency in every clinical setup. In the present retrospective study, we have tried to analyze the incidence of impacted foreign body in the upper digestive tract at our center. The most frequent presentation is history of foreign body ingestion or aspiration. They are chiefly produced by accidental swallowing of the foreign body in the extremes of age and deliberate attempts in case of psychiatric and criminal background subjects. Varied manifestations of dysphagia, drooling of saliva and retro-sternal pain is presented. Additional symptoms of vomiting and subjective sensation of breathlessness are present occasionally. Removal of foreign body at times is a challenge for the gastrointestinal endoscopist. . If not intervened expeditiously, can lead to horrific outcome . In our review study, rigid endoscopy resolved the problem in majority of cases by removal of the foreign body or dislodgement of the impacted fleshy meat ball in to the stomach. We report a retrospective study of incident and types of impacted foreign body in the upper digestive tract. The study was carried out at a Tertiary Care Center at Gangtok, India, spread over 5 years. The review of the case details was tabulated and the incidence types and outcome was calculated to review the clinical condition and its management.

Two hundred and fifty paucibacillary (PB) leprosy patients were treated with WHO recommended multidrug therapy (MDT) and followed up them for four years. The paucibacillary MDT regimen (PBR) was well accepted and tolerated by the patients. Clinical regression was attained in 60% patients after 6 doses of PBR. Reversal reaction