Unlike objects that are pointy on both ends and prone to creating punctures (such as needles), this screw does not necessarily need to be removed endoscopically. Peristaltic action will carry the screw through the intestines with the head leading and the sharp end trailing, and the body can expel it without intervention. Faecal examination and follow-up x-rays will need to be performed until the object is expelled. Physicians treating patients with similar foreign bodies may opt to admit the patient until the object is expelled, in case of complications, but this is not always necessary.