Rocklin M S, Apelgren K N
Department of Surgery, West Virginia University Hospital, Morgantown.
Am Surg. 1989 Feb;55(2):119-23.
There has been a considerable amount of experience with removal of rectal foreign bodies inserted transanally. Until recently removal of objects above the rectosigmoid junction has required laparotomy. A literature review reveals that since 1975 there have been 29 cases of colonoscopic removal of a variety of objects reported in fourteen publications. The authors have had experience with three cases of retained colonic foreign bodies (greater than 7 days) extracted using the colonoscope. All patients received preprocedure antibiotics and bowel preparation from below. All objects were removed using either the Olympus CF LB3R colonoscope or the Fujinon EVC-M videocolonoscope. The authors conclude that colonoscopic retrieval of foreign bodies is technically feasible, safe, less morbid, and less costly than laparotomy. This technique should be considered as the first step in management of these patients by endoscopic surgeons.
经肛门取出直肠异物已有相当多的经验。直到最近，直肠乙状结肠交界处以上的异物取出仍需开腹手术。文献综述显示，自1975年以来，14篇出版物报道了29例经结肠镜取出各种异物的病例。作者有3例使用结肠镜取出滞留结肠异物（超过7天）的经验。所有患者术前均接受了抗生素治疗及低位肠道准备。所有异物均使用奥林巴斯CF LB3R结肠镜或富士能EVC - M电子结肠镜取出。作者得出结论，经结肠镜取出异物在技术上是可行的、安全的，并发症少，且比开腹手术成本低。内镜外科医生应将该技术作为这些患者治疗的第一步。
