Kim J K, Kim S S, Kim J I, Kim S W, Yang Y S, Cho S H, Lee B S, Han N I, Han S W, Chung I S, Chung K W, Sun H S
Dept. of Internal Medicine, Medical College, Catholic University of Korea, Seoul.
Endoscopy. 1999 May;31(4):302-4. doi: 10.1055/s-1999-13.
Ingested foreign bodies may be managed by endoscopy, observation, or surgery. The aim of the study was to investigate the methods of removal of foreign bodies according to type and location, success rates, and complications.
The charts of 104 children who had ingested foreign bodies were retrospectively reviewed.
Of the patients, 80 (76.9%) were managed endoscopically. The overall success rate for endoscopic management was 98.8%. There were no complications during endoscopic interventions. In 23 cases the foreign bodies spontaneously passed through the gastrointestinal tract (22.1%). Surgical removal of a foreign body was done in only one case (0.96%). The majority of the foreign bodies which were located in the upper gastrointestinal tract could be removed endoscopically regardless of the nature of the material. Foreign bodies in the small and large intestine tended to pass through spontaneously without complications.
It appears that the endoscopic approach is the preferable method for the extraction of upper gastrointestinal foreign bodies in child patients because of its high success rate, and that foreign bodies in the small and large intestine tend to be passed spontaneously without complications.
摄入的异物可通过内镜检查、观察或手术进行处理。本研究的目的是根据异物类型和位置、成功率及并发症来探讨异物取出方法。
回顾性分析104例摄入异物儿童患者的病历。
其中80例（76.9%）接受了内镜治疗。内镜治疗的总体成功率为98.8%。内镜干预过程中无并发症发生。23例（22.1%）异物自行通过胃肠道。仅1例（0.96%）进行了异物手术取出。位于上消化道的大多数异物，无论其材质性质如何，均可通过内镜取出。小肠和大肠内的异物往往可自行通过且无并发症。
由于成功率高，内镜治疗似乎是儿童患者上消化道异物取出的首选方法，且小肠和大肠内的异物往往可自行通过而无并发症。
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