Koornstra Jan-J, Weersma Rinse-K
Department of Gastroenterology and Hepatology, University Medical Centre Groningen, University of Groningen, PO Box 30001, Groningen RB 9700, The Netherlands.
World J Gastroenterol. 2008 Jul 21;14(27):4403-6. doi: 10.3748/wjg.14.4403.
A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods to remove foreign bodies from the rectum. These results are summarised, presented as a practical at-a-glance overview and a flow chart is offered to guide the clinician in treatment decisions. The design of the flow chart was based on the aims to treat the patient preferably on an outpatient basis with minimally invasive techniques and if possible under conscious sedation rather than general anaesthesia.
已经描述了多种去除直肠异物的技术。在本报告中，介绍了一种使用通常用于贲门失弛缓症患者的气动扩张球囊的新型内镜技术。此外，还对从直肠中取出异物的非手术方法进行了系统的文献综述。总结了这些结果，以实用的一目了然的概述形式呈现，并提供了一个流程图来指导临床医生做出治疗决策。流程图的设计基于以下目标：最好在门诊基础上使用微创技术治疗患者，并且如果可能的话，在清醒镇静而非全身麻醉下进行治疗。
