Rabec C, Kabeya K-N, Bonniaud P, Jouve J-L, Baudouin N, Favrolt N, Camus C, Camus P
Service de Pneumologie et réanimation respiratoire, CHU Dijon, France.
Rev Mal Respir. 2008 Mar;25(3):333-7. doi: 10.1016/s0761-8425(08)71554-7.
Bezoars result from the aggregation of ingested materials (food, drugs, hair) that accumulate at a certain anatomic level in the gastrointestinal tract. It is a rare condition, which is favoured by a reduction in intestinal motility, or by a primary abnormality reducing the patency of gastrointestinal tract.
We present a case when acute respiratory symptoms revealed an oesophageal bezoar. The patient presented with compression of the posterior tracheal wall by an oesophageal bezoar. The diagnosis was confirmed by oesophageal endoscopy. Treatment consisted in endoscopy-guided fragmentation and removal of the bezoar followed by topical lavage.
Oesophageal bezoars may account for compression of the posterior tracheal wall causing acute respiratory failure or difficult weaning from the ventilator. The close anatomic proximity between the gastrointestinal and respiratory tract may explain the impact of oesophageal bezoars on the respiratory tract.
胃石是由摄入的物质（食物、药物、毛发）在胃肠道的特定解剖水平积聚而成。这是一种罕见的病症，肠道蠕动减慢或原发性异常导致胃肠道通畅性降低会促发该病。
我们报告一例因急性呼吸道症状发现食管胃石的病例。患者因食管胃石导致气管后壁受压。通过食管内镜检查确诊。治疗包括在内镜引导下将胃石破碎并取出，随后进行局部灌洗。
食管胃石可能导致气管后壁受压，引起急性呼吸衰竭或脱机困难。胃肠道与呼吸道在解剖位置上紧密相邻，这可能解释了食管胃石对呼吸道的影响。
