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结肠镜检查用于回盲瓣异物取出:一例罕见病例报告

Colonoscopy for foreign body retrieval in ileocecal valve: a rare case report.

作者信息

Doya Leen J, Mohammad Mohammad F, Mohammad Aria, Ibrahim Ali

机构信息

Department of Pediatrics, Tishreen University Hospital, Latakia, Syria.

Faculty of Medicine, Tishreen University Hospital, Latakia, Syria.

出版信息

Oxf Med Case Reports. 2023 Aug 20;2023(8):omad088. doi: 10.1093/omcr/omad088. eCollection 2023 Aug.

DOI:10.1093/omcr/omad088
PMID:37637366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10451108/
Abstract

Foreign body (FB) ingestion is a common emergency among the pediatric population. They usually pass spontaneously through the gastrointestinal (GI) tract. In rare cases, it may cause complications because of the impaction. That depends on the type of an FB, its location, the patient's age and the duration of impaction. Colonoscopy as management of FB ingestion in the ileocecal valve (IC) is rare in the medical literature review. Herein, we reported a case of an FB (thin needle-shaped FB 4 cm long) in the IC that was removed from the IC by colonoscopy. Although colonoscopic retrieval of impacted foreign bodies at the GI tract in children has been rarely reported in the literature review, it may be helpful in young children to avoid invasive surgical treatment.

摘要

异物吞食在儿童群体中是一种常见的急症。它们通常会自行通过胃肠道。在极少数情况下,由于异物嵌顿可能会引发并发症。这取决于异物的类型、位置、患者年龄以及嵌顿持续时间。在医学文献综述中,结肠镜检查用于处理回盲瓣处异物吞食的情况较为罕见。在此,我们报告了一例在回盲瓣处发现的异物(一根4厘米长的细针状异物),通过结肠镜检查将其从回盲瓣取出。尽管在文献综述中,儿童胃肠道内嵌顿异物的结肠镜取出术鲜有报道,但这对于幼儿避免侵入性手术治疗可能会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/c2c881a995e5/omad088f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/6787d8d88961/omad088f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/663937aace28/omad088f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/c2c881a995e5/omad088f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/6787d8d88961/omad088f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/663937aace28/omad088f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c0/10451108/c2c881a995e5/omad088f3.jpg

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本文引用的文献

1
Foreign body ingestion and associated factors in pediatric patients at a tertiary care center.儿童患者在三级保健中心的异物摄入及相关因素。
Rev Gastroenterol Mex (Engl Ed). 2022 Jan-Mar;87(1):20-28. doi: 10.1016/j.rgmxen.2021.09.004. Epub 2021 Oct 9.
2
2018 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 36th Annual Report.2018 年美国毒物控制中心协会国家毒物数据系统(NPDS)年度报告:第 36 次年度报告。
Clin Toxicol (Phila). 2019 Dec;57(12):1220-1413. doi: 10.1080/15563650.2019.1677022. Epub 2019 Nov 21.
3
Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin.
儿童结肠镜下取出异物两例:纽扣电池和开口安全别针
Pediatr Gastroenterol Hepatol Nutr. 2017 Sep;20(3):204-209. doi: 10.5223/pghn.2017.20.3.204. Epub 2017 Sep 26.
4
Practical Imaging Evaluation of Foreign Bodies in Children: An Update.儿童异物的实用影像学评估:最新进展
Radiol Clin North Am. 2017 Jul;55(4):845-867. doi: 10.1016/j.rcl.2017.02.012.
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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.
6
Updates in pediatric gastrointestinal foreign bodies.小儿胃肠道异物的最新进展。
Pediatr Clin North Am. 2013 Oct;60(5):1221-39. doi: 10.1016/j.pcl.2013.06.007. Epub 2013 Jul 13.