• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

胃肠道异物的管理及指南简要回顾

Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines.

作者信息

Demiroren Kaan

机构信息

Department of Pediatric Gastroenterology, University of Health Sciences, Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

出版信息

Pediatr Gastroenterol Hepatol Nutr. 2023 Jan;26(1):1-14. doi: 10.5223/pghn.2023.26.1.1. Epub 2023 Jan 10.

DOI:10.5223/pghn.2023.26.1.1
PMID:36816435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9911172/
Abstract

Foreign body (FB) ingestion is a common health problem that affects children more than adults. According to gastroenterologists' guidelines, the management of FB ingestion differs slightly between adult and children. This review aimed to compile adult and children guidelines and establish an understandable association to reveal the requirements and timing of the endoscopic procedure, which is the most effective and least complicated technique for gastrointestinal FBs. Coins, pins, and chicken and fish bones have been the most commonly ingested FBs. However, with their increasing use in recent years, large batteries with lithium-ion conversion, stronger magnets composed of rare earth metals, such as neodymium, and superabsorbent objects have become the most morbid and mortal, necessitating new management strategies. Although the approach to gastrointestinal FBs is controversial, with different treatment options available in different disciplines, many studies have demonstrated the efficacy and safety of endoscopic procedures. Many factors influence the timing of endoscopy, including the nature, size, and location of the ingested object and the patient's clinical condition.

摘要

异物吞食是一个常见的健康问题,儿童比成人更易受到影响。根据胃肠病学家的指南,成人和儿童在异物吞食的处理上略有不同。本综述旨在汇编成人和儿童指南,并建立一种易于理解的关联,以揭示内镜检查程序的要求和时机,这是处理胃肠道异物最有效且最不复杂的技术。硬币、别针以及鸡骨和鱼骨一直是最常吞食的异物。然而,近年来随着锂离子转换型大电池、由钕等稀土金属制成的更强磁铁以及高吸水性物品的使用增加,它们已成为导致最严重疾病和死亡的异物,因此需要新的管理策略。尽管处理胃肠道异物的方法存在争议,不同学科有不同的治疗选择,但许多研究已证明内镜检查程序的有效性和安全性。许多因素会影响内镜检查的时机,包括所吞食物体的性质、大小和位置以及患者的临床状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/d783c14c2079/pghn-26-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/efaf6b428471/pghn-26-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/2f992c3f4945/pghn-26-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/d783c14c2079/pghn-26-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/efaf6b428471/pghn-26-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/2f992c3f4945/pghn-26-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9102/9911172/d783c14c2079/pghn-26-1-g003.jpg

相似文献

1
Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines.胃肠道异物的管理及指南简要回顾
Pediatr Gastroenterol Hepatol Nutr. 2023 Jan;26(1):1-14. doi: 10.5223/pghn.2023.26.1.1. Epub 2023 Jan 10.
2
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.
3
Therapeutic endoscopy: removal of gastrointestinal foreign bodies in children.治疗性内镜检查:儿童胃肠道异物的取出
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1997 May-Jun;38(3):183-6.
4
An algorithm for retrieval tools in foreign body ingestion and food impaction in children.用于儿童异物吸入和食物嵌塞的检索工具的算法。
Dis Esophagus. 2021 Jan 11;34(1). doi: 10.1093/dote/doaa051.
5
Endoscopic management of gastrointestinal foreign bodies in children.儿童胃肠道异物的内镜处理
Indian J Pediatr. 1999;66(1 Suppl):S75-80.
6
A systematic review of paediatric foreign body ingestion: presentation, complications, and management.小儿异物摄入的系统评价:表现、并发症及处理
Int J Pediatr Otorhinolaryngol. 2013 Mar;77(3):311-7. doi: 10.1016/j.ijporl.2012.11.025. Epub 2012 Dec 20.
7
Foreign Body Ingestion in Children.儿童异物摄入
Clin Endosc. 2018 Mar;51(2):129-136. doi: 10.5946/ce.2018.039. Epub 2018 Mar 30.
8
Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center.儿童会吃下最奇怪的东西:来自单一学术中心的异物和腐蚀性物质摄入的10年回顾性分析。
Pediatr Emerg Care. 2012 Aug;28(8):731-4. doi: 10.1097/PEC.0b013e31826248eb.
9
Accidental ingestion of foreign bodies/harmful materials in children from Bahrain: A retrospective cohort study.巴林儿童意外摄入异物/有害物质:一项回顾性队列研究。
World J Clin Pediatr. 2023 Sep 9;12(4):205-219. doi: 10.5409/wjcp.v12.i4.205.
10
Pediatric foreign bodies and their management.小儿异物及其处理
Curr Gastroenterol Rep. 2005 Jun;7(3):212-8. doi: 10.1007/s11894-005-0037-6.

引用本文的文献

1
Intestinal volvulus and obstruction due to combined button battery and magnet ingestion: a medico-legal case report.因同时吞食纽扣电池和磁铁导致的肠扭转和肠梗阻:一例法医学病例报告。
Forensic Sci Med Pathol. 2025 Sep 6. doi: 10.1007/s12024-025-01078-5.
2
Successful endoscopic removal of sewing needle and flat metal: a case report.内镜成功取出缝纫针和平坦金属异物:一例报告
Int J Emerg Med. 2025 Jul 1;18(1):119. doi: 10.1186/s12245-025-00910-7.
3
Foreign Body Ingestion: Radiologic Evaluation, Findings, and Management.异物摄入:放射学评估、发现及处理

本文引用的文献

1
Cylindrical and button battery ingestion in children: a single-center experience.儿童吞食圆柱状和纽扣电池:单中心经验。
Pediatr Surg Int. 2021 Oct;37(10):1461-1466. doi: 10.1007/s00383-021-04953-8. Epub 2021 Jun 30.
2
Fishbone-Induced Appendicitis: A Case Report.鱼骨致阑尾炎:一例报告
Cureus. 2021 May 13;13(5):e15003. doi: 10.7759/cureus.15003.
3
Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever.鱼骨致胃穿孔伴肝脓肿形成,表现为长期发热。
Korean J Radiol. 2025 Jul;26(7):638-649. doi: 10.3348/kjr.2025.0118.
4
Endoscopy-assisted magnetic foreign body removal using a magnetic instrument-a clinical review.使用磁性器械在内镜辅助下取出磁性异物——临床综述
Surg Endosc. 2025 Jul;39(7):4102-4108. doi: 10.1007/s00464-025-11860-9. Epub 2025 Jun 13.
5
A case of orthodontic splint ingestion misclassified as a sharp/pointed foreign body in a child: A case report.一例儿童正畸夹板误摄入被误诊为尖锐/尖状异物的病例报告
Medicine (Baltimore). 2025 Apr 25;104(17):e41843. doi: 10.1097/MD.0000000000041843.
6
Approaching a Fork in the Road: A Case of Aborting Endoscopy After Discovering a Retained Foreign Object.在岔路口抉择:一例发现异物残留后中止内镜检查的病例
J Brown Hosp Med. 2024 Apr 1;3(2):115816. doi: 10.56305/001c.115816. eCollection 2024.
7
More than chest pain: A case of oesophageal foreign body ingestion.不只是胸痛:一例食管异物摄入。
S Afr Fam Pract (2004). 2024 Aug 14;66(1):e1-e4. doi: 10.4102/safp.v66i1.5942.
8
Foreign Body Ingestion in Children: An Experience of 99 Cases in a Tertiary Care Center in Delhi.儿童异物吞食:德里一家三级护理中心99例病例的经验
J Indian Assoc Pediatr Surg. 2024 May-Jun;29(3):223-232. doi: 10.4103/jiaps.jiaps_183_23. Epub 2024 May 8.
9
Imaging approach to ingested foreign bodies in the neck.颈部吞食异物的影像学方法。
Neuroradiology. 2024 Jun;66(6):867-881. doi: 10.1007/s00234-024-03348-5. Epub 2024 Apr 15.
10
Magnet ingestion in growing children: a multi-center observational study on single and multiple magnet incidents.儿童吞食磁铁:单例和多例磁铁事件的多中心观察性研究。
Sci Rep. 2024 Feb 25;14(1):4575. doi: 10.1038/s41598-024-55127-0.
IDCases. 2021 May 12;24:e01159. doi: 10.1016/j.idcr.2021.e01159. eCollection 2021.
4
Fish bone perforation of the small bowel: A case report.小肠鱼骨穿孔:一例报告。
Ann Med Surg (Lond). 2021 Apr 27;65:102348. doi: 10.1016/j.amsu.2021.102348. eCollection 2021 May.
5
Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics - a scoping review.儿科非放射科医生进行的腹部即时超声检查——一项范围综述
Pediatr Radiol. 2021 Jul;51(8):1386-1399. doi: 10.1007/s00247-021-04997-x. Epub 2021 Apr 10.
6
Comparison of Endoscopy Alone with Surgery Converted from Endoscopy for the Removal of Esophageal Foreign Bodies in Adults: A Retrospective Study from a Single Center.单纯内镜与内镜下转为外科手术治疗成人食管异物的比较:单中心回顾性研究。
Med Sci Monit. 2021 Apr 4;27:e929142. doi: 10.12659/MSM.929142.
7
Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper.儿童纽扣电池吞食的诊断、管理和预防:欧洲儿科胃肠病学、肝病学和营养学学会立场文件。
J Pediatr Gastroenterol Nutr. 2021 Jul 1;73(1):129-136. doi: 10.1097/MPG.0000000000003048.
8
A case report of an unusual left atrial mass.一例罕见左心房肿物的病例报告。
Eur Heart J Case Rep. 2020 Dec 28;5(1):ytaa500. doi: 10.1093/ehjcr/ytaa500. eCollection 2021 Jan.
9
Magnet Injuries in Children: An Analysis of the National Poison Data System from 2008 to 2019.儿童磁体伤害:2008 年至 2019 年国家毒物数据系统分析。
J Pediatr. 2021 May;232:251-256.e2. doi: 10.1016/j.jpeds.2021.01.052. Epub 2021 Jan 29.
10
A case of ingested water beads diagnosed with point-of-care ultrasound.一例通过即时超声诊断的摄入水凝胶珠病例。
Clin Exp Emerg Med. 2020 Dec;7(4):330-333. doi: 10.15441/ceem.20.041. Epub 2020 Dec 31.