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BACKGROUND The impaction of an esophageal foreign body is an urgent situation requiring emergency intervention. This retrospective study from a single center in China aimed to compare endoscopy alone with surgery converted from endoscopy for the removal of esophageal foreign bodies in adults. MATERIAL AND METHODS A total of 252 patients with esophageal foreign bodies were divided into 3 groups based on the treatment received endoscopy, surgery converted from endoscopy, or surgery only. Patients' clinical and demographic data were retros