Karaman Ayşe, Cavuşoğlu Y Hakan, Karaman Ibrahim, Erdoğan Derya, Aslan M Kemal, Cakmak Ozden
Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Koyluler Sokak, 15/2 Cebeci, Ankara 06590, Turkey.
Int J Pediatr Otorhinolaryngol. 2004 Sep;68(9):1189-91. doi: 10.1016/j.ijporl.2004.04.012.
Foreign body ingestion is not an uncommon problem in children. Children can ingest various foreign objects. One of such objects is safety pin, which is not widely reported in the literature. The purpose of this study is to consider the efficacy of Magill forceps for removal of safety pins from upper esophagus.
A retrospective chart review was conducted for all children admitted to our hospital with safety pin ingestion from 1995 to 2003. In 58 children who had been found to ingest safety pin, the attachment site was gastrointestinal tract. In 12 of the cases, safety pins were located in the upper end of the esophagus. In seven of the children safety pin extraction was achieved by using a Magill forceps with the assistance of a laryngoscope maintaining general anesthesia with mask inhalation.
Safety pins were successfully removed with Magill forceps without any complications in seven patients whom they were located in the upper esophagus. Upper esophageal safety pins in the other five patients were extracted with rigid esophagoscopy for they were not seen under direct laryngoscopy. There were no complications.
This is a preliminary report, but we believe that the Magill forceps technique for the removal of safety pin in the upper end of the esophagus is safe and minimally invasive method compared to rigid esophagoscopy.
异物摄入在儿童中并非罕见问题。儿童会摄入各种异物。安全别针就是其中一种异物，而文献中对其报道并不广泛。本研究的目的是探讨麦吉尔钳从上段食管取出安全别针的有效性。
对1995年至2003年我院收治的所有因摄入安全别针入院的儿童进行回顾性病历审查。在58例被发现摄入安全别针的儿童中，异物附着部位为胃肠道。其中12例，安全别针位于食管上端。7例儿童在面罩吸入维持全身麻醉下，借助喉镜用麦吉尔钳成功取出安全别针。
7例位于上段食管的患者用麦吉尔钳成功取出安全别针，无任何并发症。另外5例患者上段食管的安全别针因直接喉镜下未见，通过硬式食管镜取出。无并发症发生。
这是一份初步报告，但我们认为与硬式食管镜相比，用麦吉尔钳技术取出食管上端的安全别针是一种安全且微创的方法。
