Webb W A
Department of Gastrointestinal Endoscopy, East Alabama Medical Center, Opelika.
Gastroenterology. 1988 Jan;94(1):204-16. doi: 10.1016/0016-5085(88)90632-4.
In the United States, 1500 people die yearly of ingested foreign bodies of the upper gastrointestinal tract. The flexible esophagogastroduodenoscope has had a major impact on the treatment of these foreign bodies. The following discussion includes the management of coins, meat impaction, sharp and pointed objects, button batteries, and cocaine packets; and it reflects both a personal experience and a review of the literature. The uses of the rigid and the flexible endoscopes, the Foley catheter, glucagon, papain, and gas-forming agents are presented. The cost-effectiveness impact of the flexible endoscope is also detailed, and morbidity and mortality rates for foreign body management are included.
在美国，每年有1500人死于上消化道异物摄入。可弯曲食管胃十二指肠镜对这些异物的治疗产生了重大影响。以下讨论包括硬币、肉类嵌塞、尖锐物体、纽扣电池和可卡因包裹物的处理；它既反映了个人经验，也包含了文献综述。介绍了硬质和可弯曲内镜、Foley导管、胰高血糖素、木瓜蛋白酶和气雾剂的使用。还详细阐述了可弯曲内镜的成本效益影响，并列出了异物处理的发病率和死亡率。
