食管异物：当内镜下取出失败时……
Foreign body esophagus: when endoscopic removal fails….
作者信息
Shreshtha Diva, Sikka Kapil, Singh Chirom Amit, Thakar Alok
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2013 Dec;65(4):380-2. doi: 10.1007/s12070-013-0662-6. Epub 2013 Jun 29.
Abstract
Aspiration or ingestion of a foreign body has frequently been reported in the pediatric and in the adult population. Among many foreign bodies to be ingested, artificial denture is one to be impacted in the esophagus, especially among the elderly. Radiolucency of dental prosthesis complicates early diagnosis of an impacted or ingested dental prosthesis. Rigid and flexible esophagoscopes have been used to retrieve the foreign body from the esophagus but the need for open surgery to remove the foreign body as a rescue procedure to endoscopy or the primary procedure has not been well defined. Here we report a case of impacted foreign body esophagus which was managed primarily by surgery and another case where surgery was performed after trials of endoscopic approach had failed.
摘要
小儿和成人吞食或误吸异物的情况屡有报道。在众多可被吞食的异物中，假牙是一种易嵌顿于食管的异物，在老年人中尤为常见。假牙的透X线性使得嵌顿或误吸假牙的早期诊断变得复杂。硬质和软质食管镜已被用于从食管取出异物，但作为内镜检查的补救措施或主要手术方式，通过开腹手术取出异物的必要性尚未明确界定。在此，我们报告一例主要通过手术治疗的食管异物嵌顿病例，以及另一例在内镜检查尝试失败后进行手术的病例。
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