Diagnosis and treatment of esophageal foreign body: Operation or endoscopy?
- VernacularTitle:食管异物诊治：手术或者内镜？
- Author:
Menghua XUE
1
,
2
;
Juan WANG
3
,
4
;
Jie QI
5
,
6
,
7
;
Yifang ZHU
1
,
2
;
Wuping WANG
1
,
2
;
Tao JIANG
1
,
2
;
Qiang LU
1
,
2
Author Information
1. Department of Thoracic Surgery, The Second Hospital (Tangdu Hospital), Air Force Military Medical University, Xi'
2. an, 710038,
3. Department of Clinical Laboratory Medicine, The First Hospital (Xijing Hospital), Air Force Military Medical University, Xi'
4. an, 710032, P. R. China
5. Department of Cardiovascular Medicine, Shaanxi Provincial People'
6. s Hospital, Xi'
7. an, 710068, P. R. China
- Publication Type:Journal Article
- Keywords:
Esophageal foreign body;
endoscope;
surgery;
ultra-fine gastroscope
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(02):206-210
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize our experience in the treatment of esophageal foreign bodies. Methods A retrospective analysis of 149 patients of esophageal foreign bodies in the Second Affiliated Hospital of Air Force Military Medical University from December 2011 to May 2019 was carried out, including 75 (50.3%) females and 74 (49.7%) males with an average age of 57 (2-85) years. Results There were 146 patients confirmed by endoscopy, and 3 patients were not found foreign body. Among the confirmed patients, 127 patients were removed by gastroscope and 19 patients were treated by operation. Esophageal foreign bodies are mainly related to the types of food. Jujube seed is the most common food foreign body in the northwest China. The injury rate of mucosal was 47.54% within 48 hours. The complication rate of taking out the foreign body after 48 hours was 100.0%. The success rate by endoscopy decreased (P=0.005), if the foreign body combined perforation. There was no statistical difference between the neck and other parts when using ultra-fine gastroscope (P=0.157). Conclusion The sharper the foreign body is, the easier the perforation is. The earlier the foreign body is removed, the less complications are. The size of the foreign body determines the difficulty of endoscopic removal. Gastroscopy is the first choice for diagnosis and treatment, especially ultra-fine gastroscopy, and the foreign bodies that cannot be removed by endoscopy need surgical treatment.
