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[儿童和青少年胃肠道异物摄入]

[Ingestion of foreign bodies in the gastrointestinal tract of children and adolescents].

作者信息

Behrens R

出版信息

HNO. 2012 Sep;60(9):781-7. doi: 10.1007/s00106-012-2488-z.

DOI:10.1007/s00106-012-2488-z
PMID:22944890
Abstract

The diagnosis of foreign bodies in the gastrointestinal (G-I) tract can sometimes be difficult. Esophageal foreign bodies are dangerous and should be extracted as soon as possible whereas foreign bodies in the stomach usually pass through the GI-tract without complications. Exceptions are large, sharp or potentially toxic foreign bodies, such as button batteries or magnetic foreign bodies. Extraction by flexible endoscopy with the patient under deep sedation has proven to be effective, relatively minimally invasive and safe. Complications, such as ulcers, fistulas and perforations occur in 13% of patients and are strongly correlated to the localization in the esophagus.

摘要

胃肠道(GI)异物的诊断有时可能很困难。食管异物很危险,应尽快取出,而胃内异物通常可顺利通过胃肠道,不会引发并发症。例外情况是大型、尖锐或有潜在毒性的异物,如纽扣电池或磁性异物。在深度镇静下通过柔性内镜进行取出已被证明是有效、相对微创且安全的。并发症,如溃疡、瘘管和穿孔,在13%的患者中出现,并且与异物在食管中的位置密切相关。

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An update on pediatric endoscopy.小儿内镜学进展。
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本文引用的文献

1
Emerging battery-ingestion hazard: clinical implications.新兴的电池摄入危害:临床意义。
Pediatrics. 2010 Jun;125(6):1168-77. doi: 10.1542/peds.2009-3037. Epub 2010 May 24.
2
Magnet ingestion.吞食磁铁。
J Pediatr. 2008 Feb;152(2):294-4. doi: 10.1016/j.jpeds.2007.08.042.
3
Management of esophageal coins.食管硬币的处理
Curr Opin Pediatr. 2006 Oct;18(5):571-4. doi: 10.1097/01.mop.0000245361.91077.b5.
4
Magnetic foreign body ingestions leading to duodenocolonic fistula.导致十二指肠结肠瘘的磁性异物摄入。
J Pediatr Gastroenterol Nutr. 2005 Nov;41(5):670-2. doi: 10.1097/01.mpg.0000177703.99786.c9.
5
Pediatric foreign bodies and their management.小儿异物及其处理
Curr Gastroenterol Rep. 2005 Jun;7(3):212-8. doi: 10.1007/s11894-005-0037-6.
6
Severe esophageal damage due to button battery ingestion: can it be prevented?因吞食纽扣电池导致的严重食管损伤:能否预防?
Pediatr Surg Int. 2004 Jul;20(7):496-501. doi: 10.1007/s00383-004-1223-6. Epub 2004 Jun 22.
7
Foreign-body ingestion in children: experience with 1,265 cases.儿童异物吞食:1265例病例经验
J Pediatr Surg. 1999 Oct;34(10):1472-6. doi: 10.1016/s0022-3468(99)90106-9.
8
Esophageal foreign bodies in children: diagnosis, treatment, and complications.儿童食管异物:诊断、治疗及并发症
AJR Am J Roentgenol. 1996 Apr;166(4):919-24. doi: 10.2214/ajr.166.4.8610574.