Scamporrino A, Mongardini M, Stagnitti F, Corona F, Costantini A, Priore F M, Tiberi R, Iannetti A, Occhigrossi G
Istituto di Clinica Chirurgica d'Urgenza e di Pronto Soccorso, Università degli Studi La Sapienza Roma.
G Chir. 2002 Jun-Jul;23(6-7):261-7.
From June 1987 to April 2000, 167 (74%) of 223 patients suspected of swallowing foreign bodies were treated. Hundred-sixty-three were successfully treated endoscopically. The surgery rate was 2.4%. There was failure to remove a tablespoon, a tooth-brush, a dental prostheses with metallic hook, a knitting-needle. The sharp and pointed foreign bodies were 35 (20.9%). Endoscopic removal of sharp and pointed foreign bodies in the upper gastrointestinal tract can be very difficult to manage. The Authors report iatrogenic perforation of esophagus-gastric-fundus in a patient with hiatus hernia who ingested a big knitting-needle in order to suicide. They think that it is absolutely necessary to use special endoscopic equipment during the taking out of foreign-body procedure, especially when pointed and sharp-edge shaped bodies are involved and when there is high risk of iatrogenic lesions.
1987年6月至2000年4月，223例疑似吞食异物的患者中有167例（74%）接受了治疗。163例通过内镜成功治疗。手术率为2.4%。有汤匙、牙刷、带金属钩的假牙、织针未能取出。尖锐异物有35例（20.9%）。内镜下取出上消化道尖锐异物可能非常困难。作者报告了1例患有食管裂孔疝的患者为自杀吞食大织针后发生食管-胃底医源性穿孔。他们认为在取出异物过程中绝对有必要使用特殊的内镜设备，尤其是当涉及尖锐和边缘锋利的物体以及存在医源性损伤的高风险时。
