Li Sheng-Xi, Li Hui, Chen Tao, Xu Mei-Dong
Sheng-Xi Li, Department of Endoscopic Diagnosis and Therapy, People's Hospital of Liaoning Province, Shenyang 110016, Liaoning Province, China.
World J Gastrointest Endosc. 2014 Sep 16;6(9):453-6. doi: 10.4253/wjge.v6.i9.453.
Foreign body ingestion is an emergency or acute situation that commonly occurs in children or adults and involves the ingestion of one or more objects. Moreover, once the discovery of swallowed foreign bodies has been made, families are typically very anxious to have the patient see a doctor. If the foreign object becomes embedded in the digestive tract, it must be removed; in emergencies, this is done by endoscopy or surgery. This case report presents the successful endoscopic retrieval of a chopstick with both sides embedded 4 cm into the esophageal wall for > 10 mo in a male patient following automutilation in an attempt to be released from a psychiatric hospital. Hot hemostatic forceps were used to open the distal esophageal mucosa in which the chopstick was embedded. The procedure was performed under intravenous general anesthesia and took approximately 7 h.
异物摄入是一种常见于儿童或成人的紧急或急性情况，涉及吞食一个或多个物体。此外，一旦发现患者吞食了异物，家属通常会非常急切地希望患者就医。如果异物嵌入消化道，则必须将其取出；在紧急情况下，可通过内镜检查或手术来完成。本病例报告介绍了一名男性患者在自残后试图从精神病院出院，一根筷子两侧嵌入食管壁4厘米长达10多个月，最终通过内镜成功取出的病例。使用热止血钳打开嵌入筷子的食管远端黏膜。手术在静脉全身麻醉下进行，耗时约7小时。
