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外套管辅助异物取出术:内镜治疗综述及病例说明

Overtube-Assisted Foreign Body Removal: A Review of Endoscopic Management and Case Illustration.

作者信息

Ofosu Andrew, Ramai Daryl, Reddy Madhavi

机构信息

Department of Gastroenterology, The Brooklyn Hospital Center, Affiliate of the Mount Sinai Hospital.

出版信息

Cureus. 2017 Sep 29;9(9):e1730. doi: 10.7759/cureus.1730.

DOI:10.7759/cureus.1730
PMID:29201579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5707170/
Abstract

The ingestion of foreign bodies is a common medical emergency seen in both adults and children. In children, the most commonly ingested foreign bodies include coins, toys, magnets, and batteries. In adults, food bolus impaction represents the most common cause of foreign body ingestion. The majority of foreign bodies pass spontaneously. Sharp or pointed objects increase the risk of perforation. Emergent endoscopic intervention is indicated in cases of esophageal obstruction, ingestion of disk batteries, and sharp pointed objects in the esophagus. Flexible endoscopy is the therapeutic method of choice for removing foreign bodies. It is preferred due to its high success rate and low risk for complications. Additionally, the use of an overtube provides gastric and esophageal protection from mucosal laceration. We present a 27-year-old male who ingested six razor blades and a curtain hook and review endoscopic management.

摘要

异物摄入是成人和儿童中常见的医疗急症。在儿童中,最常摄入的异物包括硬币、玩具、磁铁和电池。在成人中,食物团块嵌塞是异物摄入的最常见原因。大多数异物会自行排出。尖锐或带尖物体增加穿孔风险。食管梗阻、摄入纽扣电池以及食管内尖锐带尖物体的情况需要紧急内镜干预。可弯曲内镜是取出异物的首选治疗方法。因其成功率高且并发症风险低而更受青睐。此外,使用外套管可保护胃和食管免受黏膜撕裂伤。我们报告一名27岁男性摄入六片剃须刀片和一个窗帘钩的病例,并回顾内镜处理情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7914/5707170/f3e65624e3e3/cureus-0009-00000001730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7914/5707170/f3e65624e3e3/cureus-0009-00000001730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7914/5707170/f3e65624e3e3/cureus-0009-00000001730-i01.jpg

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本文引用的文献

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Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.成人上消化道异物取出术:欧洲胃肠内镜学会(ESGE)临床指南
Endoscopy. 2016 May;48(5):489-96. doi: 10.1055/s-0042-100456. Epub 2016 Feb 10.
2
Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review.上消化道异物的内镜治疗:综述
World J Gastrointest Endosc. 2014 Oct 16;6(10):475-81. doi: 10.4253/wjge.v6.i10.475.
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Overtube use in gastrointestinal endoscopy.
BMC Pediatr. 2023 Jun 24;23(1):323. doi: 10.1186/s12887-023-04125-8.
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Feasibility and safety of a self-developed sleeve for the endoscopic removal of refractory foreign body incarceration.一种自行研发的用于内镜下取出难治性异物嵌顿的套管的可行性及安全性。
Front Surg. 2023 May 3;10:1150004. doi: 10.3389/fsurg.2023.1150004. eCollection 2023.
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Successful Management of Pharyngeal Perforation Caused by Overtube Insertion During Endoscopic Submucosal Dissection.内镜黏膜下剥离术中过管插入所致咽穿孔的成功处理
Cureus. 2020 May 13;12(5):e8090. doi: 10.7759/cureus.8090.
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Endoscopy. 2005 Jun;37(6):591-3. doi: 10.1055/s-2005-861320.
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Outcomes of acute esophageal food impaction: success of the push technique.急性食管食物嵌塞的治疗结果:推送技术的成功率。
Gastrointest Endosc. 2001 Feb;53(2):178-81. doi: 10.1067/mge.2001.111039.
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Gastrointest Endosc. 1995 Jan;41(1):33-8. doi: 10.1016/s0016-5107(95)70273-3.
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Removal of razor blades from stomach with fibreoptic endoscope.使用纤维光学内窥镜从胃中取出剃须刀片。
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