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双 Fogarty 球囊导管技术用于取出难以取出的食管异物。

Double Fogarty balloon catheter technique for difficult to retrieve esophageal foreign bodies.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.

Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, Canada.

出版信息

J Otolaryngol Head Neck Surg. 2018 Nov 20;47(1):72. doi: 10.1186/s40463-018-0318-3.

Abstract

BACKGROUND

Foreign body ingestion is common, especially in the pediatric population. Plans for retrieval should be tailored to the specific esophageal foreign bodies.

CASE PRESENTATION

We present a difficult to retrieve esophageal foreign body in a 3-year-old girl who ingested a 2 cm glass pebble. Intraoperatively, attempts using conventional optical forceps and retrieval baskets were unsuccessful due to the size and smooth texture of the object. A novel strategy using double Fogarty embolectomy balloon catheters for retrieval of blunt esophageal foreign bodies was devised and described.

CONCLUSION

The double fogarty retrieval technique described appeared to be safe and efficacious, allowing for extraction of large esophageal foreign bodies under direct visualization.

摘要

背景

异物摄入很常见,尤其是在儿科人群中。取物计划应根据特定的食管异物进行定制。

病例介绍

我们介绍了一名 3 岁女孩吞食 2 厘米玻璃卵石后难以取出的食管异物。术中,由于物体的大小和光滑质地,使用传统的光学夹具和取物篮的尝试均未成功。设计并描述了一种使用双 Fogarty 取栓球囊导管取钝性食管异物的新策略。

结论

所描述的双 Fogarty 取物技术似乎是安全有效的,可在直接可视化下取出大的食管异物。

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