Hawkins D B
Department of Otolaryngology-Head and Neck Surgery, Los Angeles County-University of Southern California Medical Center 90033.
Ann Otol Rhinol Laryngol. 1990 Dec;99(12):935-40. doi: 10.1177/000348949009901201.
Historically, removal of blunt foreign bodies from the esophagus by esophagoscopy under general anesthesia has been considered to be relatively safe and effective. In recent years, alternative techniques of blind removal with balloon catheters or bougies have been advocated. This paper reports 246 esophagoscopies performed over a 19-year period to remove blunt esophageal foreign bodies. Eighty-one percent of the foreign bodies were coins and 74% were in children under 3 years of age. There were no deaths, no perforations, and no instances of mediastinitis. The only complications encountered were those due to esophageal erosion and/or respiratory problems secondary to long-standing foreign bodies. In the author's opinion, esophagoscopy is the best method for removal of all esophageal foreign bodies. There simply does not seem to be a need for alternative methods involving blind removal.
从历史上看，在全身麻醉下通过食管镜检查从食管中取出钝性异物一直被认为相对安全有效。近年来，有人提倡用球囊导管或探条进行盲目取出的替代技术。本文报告了在19年期间进行的246例食管镜检查，以取出钝性食管异物。81%的异物是硬币，74%的异物位于3岁以下儿童。没有死亡病例，没有穿孔，也没有纵隔炎病例。遇到的唯一并发症是由于长期存在的异物导致的食管糜烂和/或呼吸问题。作者认为，食管镜检查是取出所有食管异物的最佳方法。似乎根本没有必要采用涉及盲目取出的替代方法。
