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題 名 | Endoscopic Management of Adult Foreign Bodies in the Upper-Gi Tract: Clinical Experiences at a Tertiary Hospital in Southern Taiwan=成人上消化道異物的內視鏡處理:南臺灣醫學中心之臨床經驗 |
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作 者 | 林聖傑; 蔡成枝; 吳耿良; 趙景華; 張國欽; 邱逸群; 周業彬; 胡銘倫; 戴維震; 邱世賢; 胡琮輝; 張簡吉幸; | 書刊名 | 臺灣消化醫學雜誌 |
卷 期 | 29:4 2012.12[民101.12] |
頁 次 | 頁326-333 |
分類號 | 415.5091 |
關鍵詞 | 異物吞食; 食團哽塞; 內視鏡治療; Foreign body ingestion; Food bolus impaction; Endoscopic interventions; |
語 文 | 英文(English) |
中文摘要 | 背景:即使在成人身上,異物吞入及食團哽塞是很常見的臨床問題。但探討此族群的文獻有限,所以我們分析成人異物吞食的臨床特徵及內視鏡治療的經驗。方法:回溯性分析高雄長庚紀念醫院自民國99年11月至民國100年10月之間,曾因異物吞食或食團哽塞而接受內視鏡治療的案例。我們排除了記錄不完全的案例及分析以下臨床指標:包括年齡、性別、異物種類、數目及位置、上消化道疾病、內視鏡治療方式、患者臨床症狀及治療後的併發症。結果:一共有50 人(共53次事件) 因疑似異物吞食而接受內視鏡治療,其中的36 次事件(67.9%)有成功發現異物(男/ 女: 1/1.08;年齡53±18歲)。最常見的異物是食團(38.9%),最好發的位置在食道(66.7%)。大部份被發現的異物都可以成功取出(94.4%),只有一個案例需要手術治療。特別容易表現症狀者,包含男性患者、吞食尖銳異物者、位在咽喉或食道異物者(分別P值為:P=0.012, P=0.043, P<0.001)。儘早接受內視鏡探查者有助於異物的早期發現(P=0.049)。結論:異物吞入及食團哽塞案例在南台灣是很常見的。內視鏡治療是安全及有效的處置。即時的內視鏡治療可以增加異物的發現率。 |
英文摘要 | Background and Aims: Foreign object ingestion and food bolus impaction are common clinical problems even among adults. However, local literature is scarce. We report our real world clinical experience using endoscopic management to treat adult foreign body ingestion and food bolus impaction. Methods: A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction who presented at Kaohsiung Chang Gung Memorial Hospital between November 2010 and October 2011. The clinical variables analyzed were age, gender, the type, number and location of the foreign bodies, associated upper gastrointestinal diseases, the endoscopic method used, the accessory device used and any symptoms and complications during the removal procedure. Results: A total of 50 patients (53 incidents) met the inclusion/exclusion criteria and were included in the study (male/female: 1/1.08; age 53 ± 18 years). Among them, 36 foreign bodies were found successfully (67.9%). Most of the foreign bodies were located in the esophagus (66.7%). Food bolus impaction was the most common finding (38.9%). The majority of foreign bodies in current study were successfully extracted (94.4%) and only one case required surgical intervention. A comparison between the symptomatic and asymptomatic patients revealed that a male gender, a sharp foreign body and the location of foreign body in the pharynx/esophagus were the significant relevant factors. Early endoscopic intervention seems to increase the detection rate. Conclusions: Endoscopic management is a safe and highly effective procedure when treating foreign body ingestion and food bolus impaction. |
本系統中英文摘要資訊取自各篇刊載內容。