Bowa K, Bvulani B, Mukonge L
University Teaching Hospital Lusaka, Lusaka, Zambia.
Trop Doct. 2009 Apr;39(2):97-8. doi: 10.1258/td.2008.070466.
A coin in the oesophagus is a common paediatric emergency in Zambia. There are very few specialist surgeons and hospitals where endoscopic removal can be carried out in many resource-limited countries. The technique described here allows the removal of an ingested coin using an ordinary Foley's catheter. The use of this technique under fluoroscopic guidance has been described in literature. However, fluoroscopic facilities and trained radiologists are not commonly available in many parts of Africa. This technique is simple, safe and has a success rate close to that achieved by endoscopic removal.
在赞比亚,食管内有硬币是常见的儿科急症。在许多资源有限的国家,能够进行内镜取出术的专科外科医生和医院非常少。本文所述技术可使用普通的Foley导尿管取出吞食的硬币。文献中已描述了在透视引导下使用该技术的情况。然而,非洲许多地区通常没有透视设备和训练有素的放射科医生。该技术简单、安全,成功率接近内镜取出术。