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在一家三级保健医院进行上消化道内镜检查的患者中,疑似上消化道异物的成功内镜处理:一项描述性横断面研究。

Successful Endoscopic Management of Suspected Foreign Bodies in Upper Gastrointestinal Tract among Patients Undergoing Upper Gastrointestinal Endoscopy in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Gastroenterology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Jul 30;59(239):683-687. doi: 10.31729/jnma.6714.

Abstract

INTRODUCTION

Most ingested foreign bodies pass through the gastrointestinal tract spontaneously. However, some foreign bodies may get impacted in the upper gastrointestinal tract. A variety of endoscopic techniques and instruments are indicated for the removal of such impacted foreign bodies. This study was conducted to find out the prevalence of successful endoscopic removal of foreign bodies.

METHODS

This descriptive cross-sectional study was conducted among patients who presented at the Department of Gastroenterology with complaints of upper gastrointestinal foreign body ingestion from 2/11/2008 to 23/07/2020 after taking ethical approval of the research proposal was taken from Institutional Review Board (Reference no 13). Convenient sampling was done. The data were entered into Microsoft Excel and analyzed in Statistical Package of Social Sciences version 22.

RESULTS

A total of 119 cases were identified with foreign bodies ingestion. In hundred patients, foreign bodies 100 (84 %) (77.41-90.58 at 95% Confidence Interval) were extracted completely. Complete extraction failed in 19 (16%) patients. Six (5%) patients were treated by push technique and 10 (8.4%) patients with failed retrieval, received surgical intervention for foreign body removal.

CONCLUSIONS

Endoscopic removal technique of foreign bodies in the upper gastrointestinal tract was successful in most of the cases and is associated with few complications.

摘要

简介

大多数摄入的异物会自行通过胃肠道。然而,有些异物可能会在上胃肠道受阻。多种内镜技术和器械可用于取出这些受阻的异物。本研究旨在确定成功取出异物的内镜方法的发生率。

方法

本研究为描述性横断面研究,纳入了 2008 年 11 月 2 日至 2020 年 7 月 23 日期间因上消化道异物摄入而到消化内科就诊的患者。研究方案获得了机构审查委员会的伦理批准(参考编号 13)。采用便利抽样法。数据输入 Microsoft Excel 并在社会科学统计软件包 22 版中进行分析。

结果

共发现 119 例有异物摄入的病例。在 100 例患者中,100 例(95%置信区间为 77.41-90.58)完全取出了异物。19 例(16%)患者完全取出失败。6 例(5%)患者采用推挤技术治疗,10 例(8.4%)经内镜取出失败的患者接受了手术干预以取出异物。

结论

上消化道异物的内镜取出技术在大多数情况下是成功的,且并发症较少。

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