Kim Junhwan, Ahn Ji Yong, So Seol, Lee Mingee, Oh Kyunghwan, Jung Hwoon-Yong
Department of Internal Medicine, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clin Endosc. 2017 Mar;50(2):197-201. doi: 10.5946/ce.2016.085. Epub 2016 Dec 23.
In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases.
在大多数摄入异物的病例中，内镜检查是首选的治疗方法。此外，对于尖锐和带尖的异物，如动物或鱼骨、食物团块和纽扣电池，由于穿孔、梗阻和出血风险增加，需要进行紧急内镜取出。在此，我们报告了两例未充分禁食就需要紧急内镜取出异物的病例。由于食物残渣，内镜无法看到异物；因此，在这两例病例中均利用荧光透视成像来进行异物的内镜取出。
