Wahid Fazal I, Rehman Habib Ur, Khan Iftikhar Ahmad
Department of E.N.T, Head & Neck Surgery, Postgraduate Medical Institute, Peshawar, Khyber Pakhtunkhwa Pakistan.
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):203-6. doi: 10.1007/s12070-011-0426-0. Epub 2011 Dec 24.
The objective of this study was to determine the management of rigid esophagoscopy for extraction of foreign bodies (FBs) upper digestive tract in a tertiary care hospital. This descriptive study was conducted at the Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from January 2008 to December 2010. This study included 380 patients. After taking detailed history, thorough examination and investigations, a well informed consent was obtained. Rigid esophagoscopy was performed under general anesthesia. The data was analyzed using the statistical program for social sciences (SPSS version 17). Our study with total duration of 3 years included 380 cases constituting 227 male and 153 female, with male:female ratio of 1.48:1. The age of the patients ranged from 1 to 80 years with mean age of 39.39 ± SD 6.81 years. The clinical features of these patients were mainly dysphagia for solids (72.89%) followed by throat pain (18.15%). Site of impaction of FBs was that in 303 cases (79.73%) cricopharynx, in 61 cases (16.05%) mid-esophagus and in 16 cases (4.21%) pyriform fossa was involved. Rigid esophagoscopy was performed in all cases and a variety of FB was extracted from upper digestive tract. The commonest FB was coin 58.42% followed by meat bolus 17.10%. It is concluded from this study that the commonest FB upper digestive tract in children is coin while in adults is meat bolus in this part of the world. Rigid esophagoscopy is still the technique of choice for its extraction and its complication can be minimized if performed by expert hands.
本研究的目的是确定在一家三级医疗医院中，硬质食管镜用于取出上消化道异物（FBs）的处理方法。这项描述性研究于2008年1月至2010年12月在白沙瓦市莱迪·里德医院研究生医学研究所耳鼻喉头颈外科进行。本研究纳入了380例患者。在获取详细病史、进行全面检查和调查后，获得了充分知情同意。硬质食管镜检查在全身麻醉下进行。使用社会科学统计程序（SPSS 17版）对数据进行分析。我们为期3年的研究包括380例病例，其中男性227例，女性153例，男女比例为1.48:1。患者年龄范围为1至80岁，平均年龄为39.39±标准差6.81岁。这些患者的临床特征主要是固体食物吞咽困难（72.89%），其次是咽痛（18.15%）。异物嵌顿部位为：环咽肌303例（79.73%），食管中段61例（16.05%），梨状窝16例（4.21%）。所有病例均进行了硬质食管镜检查，并从上消化道取出了各种异物。最常见的异物是硬币，占58.42%，其次是肉块，占17.10%。本研究得出结论，在世界的这一地区，儿童上消化道最常见的异物是硬币，而成人是肉块。硬质食管镜检查仍然是取出异物的首选技术，如果由专业人员操作，其并发症可以降至最低。
