Endoscopic management of foreign bodies in the gastrointestinal tract: A retrospective study of 109 cases
Open Access
- 28 December 2020
- journal article
- Published by Baishideng Publishing Group Inc. in World Chinese Journal of Digestology
- Vol. 28 (24), 1243-1248
- https://doi.org/10.11569/wcjd.v28.i24.1243
Abstract
摄入的消化道异物是临床中常见的急症. 消化道异物个体化内镜取出方法报道较少. 探讨摄入的消化道异物个体化内镜取出方法, 以提高异物内镜取出成功率. 采用回顾性队列研究, 分析2014-07/2019-04在解放军总医院第三医学中心(原武警总医院)消化内镜中心的消化道异物的临床资料及相应的内镜取出的过程特征. 109例患者纳入研究, 其中男46例(42.2%), 女63例(57.8%). 年龄11岁-88岁, 平均年龄57.3岁, 其中52例(47.7%)为老年人. 最常见的异物是枣核53例(48.6%), 其次是鱼骨24例(22%)、食团15例(13.8%). 消化道异物最常见的位置是食管84例(76.9%), 其次是结肠7例(6.4%), 吻合口6例(5.5%), 胃和十二指肠分别为5例(4.5%)、5例(4.5%), 咽部2例(1.8%). 根据异物特点及其滞留部位和患者自身条件, 选择合适的取出器械, 制定个体化内镜取出方法, 其中咽部异物用时间最短, 平均时间为2.5±0.7 min. 食管上、中、下段异物所用平均时间分别为7.0±5.3 min、8.3±6.3 min、3.3±1.2 min. 吻合口处异物所用时间6.2±4.1 min. 胃内异物和十二指肠异物所用平均时间为8.4±1.7 min和9.2±3.1 min. 结肠异物所用时间最长, 平均时间为15.6±8.0 min. 消化道异物内镜取出成功率为97.2%(106/109). 根据异物特点及其滞留部位和患者自身条件个体化内镜取出消化道异物是安全、有效的方法.This publication has 14 references indexed in Scilit:
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