Han Serdar, Kayhan Burçak, Dural Koray, Koçer Bülent, Sakinci Unal
Department of Thoracic Surgery, Ankara Numune Education and Research Hospital, Yenişehir 06443, Ankara, Turkey.
Turk J Gastroenterol. 2005 Jun;16(2):108-10.
Despite the recent advances in instrumentation and anesthesia, removal of esophageal foreign bodies remains a challenge. Endoscopic removal of foreign bodies has yielded a success rate of 80%. Surgical removal of these foreign bodies is necessary when the endoscopic manipulations fail. Localization and size of the bodies play a critical role in the method of treatment. Here we present a patient with a large stone with sharp edges located in the cervico-thoracic region which was removed after being pushed into the hypopharynx through the esophagus rather than being pushed into the stomach. The technique used proved to be effective and safe; this may be the first use of the procedure in the literature.
尽管最近在器械和麻醉方面取得了进展,但取出食管异物仍然是一项挑战。内镜下取出异物的成功率为80%。当内镜操作失败时,手术取出这些异物是必要的。异物的定位和大小在治疗方法中起着关键作用。在此,我们报告一例患者,其位于颈胸段的一块边缘锐利的大结石,通过食管被推至下咽而不是胃后被取出。所采用的技术被证明是有效且安全的;这可能是该手术在文献中的首次应用。