Vagner E A, Subbotin V M, Davidov M I, Repin V N, Titlianova Z A, Vorontsov A P
Khirurgiia (Mosk). 1999(5):24-8.
66 patients (45 males and 21 females) who have swallowed 157 foreign bodies (fragments of wire, nails, needles, hafts of spoons, et were treated). If the objects were located in the stomach and the duodenum in the absence of complications endoscopic method of treatment was preferable, with the help of which 31 objects were successfully removed and the terms of treatment were significantly decreased. Conservative treatment (diet rich in fiber and protective substances, barium sulfate administration) resulted in elimination of 58 objects by vias naturals, 53 from which were not more that 8 cm long. Evacuation of the foreign bodies was carried out only during the first 3 weeks after the swallowing. Operative treatment was carried out in 21 patients, in whom 68 foreign bodies were extracted. An urgent operation in the first 6 hours in complications due to foreign bodies (perforation, incarceration, gastrointestinal bleeding) was carried out in 13 patients. An urgent operation in terms from 6 to 24 hours of hospitalization was carried out in 6 patients with large (more that 8 cm) swallowed objects, conglomerates and bunches of foreign bodies. Early removal of these objects prevented development of complications. Elective operation was carried out in failure of conservative treatment as was in 2 patients. No lethality was registered.
66例（45例男性，21例女性）吞食了157个异物（金属丝碎片、钉子、针、勺子柄等）的患者接受了治疗。如果异物位于胃和十二指肠且无并发症，内镜治疗方法更为可取，借助该方法成功取出了31个异物，治疗时间显著缩短。保守治疗（富含纤维和保护性物质的饮食、服用硫酸钡）使58个异物通过自然途径排出，其中53个长度不超过8厘米。异物仅在吞食后的前3周内排出。21例患者接受了手术治疗，从中取出了68个异物。13例因异物引起并发症（穿孔、嵌顿、胃肠道出血）的患者在最初6小时内进行了急诊手术。6例吞食大的（超过8厘米）异物、异物团块和束状物的患者在住院6至24小时内进行了急诊手术。尽早取出这些异物可防止并发症的发生。2例患者因保守治疗失败而进行了择期手术。未记录到死亡病例。
