Winkler A R, McClenathan D T, Borger J A, Ahmed N
Division of Gastroenterology and Nutrition, All Children's Hospital, St. Petersburg, FL 33701.
J Pediatr Gastroenterol Nutr. 1989 May;8(4):536-40. doi: 10.1097/00005176-198905000-00020.
Foreign bodies of the esophagus may penetrate the wall and migrate extraluminally, requiring a thoracotomy for removal. We report two children who swallowed coins that went undetected for several months and slowly eroded into the esophageal wall. These coins could not be retrieved by upper endoscopy, because of proximal strictures and granulation tissue at the perforation sites. Following surgical gastrostomy and retrograde flexible endoscopy, the coins were successfully removed. Retrograde endoscopy should be considered for removal of foreign esophageal objects before undertaking a thoracotomy.
食管异物可能穿透管壁并迁移至管腔外，需要开胸手术取出。我们报告了两名儿童，他们吞下硬币后数月未被发现，硬币逐渐侵蚀食管壁。由于穿孔部位近端狭窄和肉芽组织形成，通过上消化道内镜无法取出这些硬币。在进行手术胃造口术和逆行柔性内镜检查后，成功取出了硬币。在进行开胸手术之前，应考虑采用逆行内镜检查来取出食管异物。
