Foreign body ingestions are encountered in the clinical practice and sometimes require endoscopic management. However, time trends and epidemiology of these cases have not been fully clarified. If seasons and festivals have an effect on the occurrence has been poorly described.We enrolled consecutive 1152 foreign body ingestion cases in our endoscopic center from 2009 to 2020. Case records were reviewed for demographic data, foreign body type and location, outpatient or hospitalization, adverse events and dates. Annual time trends and seasonal variation were analyzed as well as influence of Chinese legal festivals on the incidence. The impact of SARS-CoV2 pandemic on the potential delay for clinical consultation of these cases was explored preliminarily. Clinical features of these cases were demonstrated.The overall success rate was 99.7% and adverse events rate was 2.4%. There was an uptrend in the annual frequency of food foreign body ingestion endoscopic extraction from 0.65 in 2009 to 8.86 in 2020 per 1000 patients of esophagogastroduodenoscopy (r=0.902, P<0.001). And the frequency of the endoscopic extraction had a significant increase in winter (P<0.001) and during Chinese New Year celebratory season (P=0.003). Duration of hospitalization may be longer in the pandemic period (P=0.0049).Considering the uptrend of the annual frequency of food related foreign body endoscopic extraction, we should enhance the publicity about the danger of foreign body ingestion. Arrangement of endoscopic physicians and assistants during the high-incidence season should be emphasized.