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腹腔镜治疗胃内异物。病例视频展示。

A laparoscopic approach to gastric foreign bodies. A video case presentation.

出版信息

Ann Ital Chir. 2021 Oct 25;10:S2239253X21036835.

Abstract

INTRODUCTION

Foreign body ingestions are one of the common reasons for Emergency Department applications. Although it is mostly seen in the pediatric age group, adult patients could be more complicated. The majority of swallowed foreign bodies could pass through the digestive system spontaneously. Only %1 of them needs surgical interventions. In this study, we present a case that swallowed his denture and needs surgical treatment.

CASE PRESENTATION

A 59-year-old male patient was admitted to Emergency Department for swallowing his dental prosthesis accidentally. He had the feeling of being stuck in his chest while swallowing, and there were no additional symptoms. On the chest x-ray, it was detected in the middle part of esophagus. Upper Gastrointestinal System Endoscopy was performed to remove it. Foreign body was detected in the stomach during the endoscopy. However, it was not suitable for endoscopic extraction. Surgery was performed, and the foreign body was removed from the stomach laparoscopically. The patient was discharged from the hospital uneventfully on the fifth day after surgery.

CONCLUSION

Although they have seemed in many cases, a small percentage of foreign body ingestions needs surgical treatment. Developments in recent years have increased the frequency of using minimally invasive techniques in emergency surgeries. Because of advantages such as fast recovery and small scars, laparoscopic surgery is recommended as an option that can be used safely in emergency cases.

KEY WORDS

Foreign Body, Gastric, Laparoscopy, Surgery.

摘要

简介

异物摄入是急诊科就诊的常见原因之一。尽管它主要发生在儿童年龄段,但成年患者可能更为复杂。大多数吞下的异物可自行通过消化系统。只有 1%需要手术干预。在本研究中,我们报告了一例吞下义齿并需要手术治疗的病例。

病例介绍

一名 59 岁男性患者因意外吞下义齿而被收入急诊科。他在吞咽时感到有异物卡在胸口,没有其他额外症状。胸部 X 光片显示异物位于食管中段。为取出异物,进行了上消化道内镜检查。在内镜检查中发现异物在胃中。然而,不适合进行内镜取出。因此进行了手术,通过腹腔镜从胃中取出了异物。患者在手术后第五天顺利出院。

结论

尽管异物摄入在许多情况下看起来很常见,但只有一小部分需要手术治疗。近年来的发展增加了在急诊手术中使用微创技术的频率。由于恢复快、疤痕小等优点,腹腔镜手术被推荐为一种可在急诊情况下安全使用的选择。

关键词

异物、胃、腹腔镜、手术。

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