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上消化道异物

Upper Gastrointestinal Tract Foreign Bodies.

作者信息

Oh Young Eun, Moon Hee Seok

机构信息

Division of Gastroenterology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

出版信息

Korean J Helicobacter Up Gastrointest Res. 2024 Mar;24(1):24-30. doi: 10.7704/kjhugr.2024.0002. Epub 2024 Mar 8.

DOI:10.7704/kjhugr.2024.0002
PMID:40503279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11967526/
Abstract

Foreign body ingestion, a common emergency encountered in clinical practice, is a potentially serious condition. Most foreign bodies in the gastrointestinal tract pass spontaneously. However, objects that are relatively long or large may lodge in the upper gastrointestinal tract, potentially causing perforation, bleeding, and obstruction. This literature review summarizes the natural history and clinical aspects of these types of foreign bodies in adults as well as the various methods for their removal. Endoscopic removal is a relatively safe and effective procedure for removing these types of foreign bodies. The development of endoscopic techniques and devices has resulted in their widespread use, with good results, as the primary treatment.

摘要

吞食异物是临床实践中常见的急症,是一种潜在的严重情况。胃肠道中的大多数异物会自行排出。然而,相对较长或较大的物体可能会卡在上消化道,有可能导致穿孔、出血和梗阻。这篇文献综述总结了成人这类异物的自然病程和临床情况以及各种取出方法。内镜下取出是取出这类异物相对安全有效的方法。内镜技术和设备的发展使其作为主要治疗方法得到广泛应用且效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/3db499b0313a/kjhugr-2024-0002f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/26ff6361487e/kjhugr-2024-0002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/c942cdf1c3f3/kjhugr-2024-0002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/4c0532b57a56/kjhugr-2024-0002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/cac88e5d15ff/kjhugr-2024-0002f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/3db499b0313a/kjhugr-2024-0002f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/26ff6361487e/kjhugr-2024-0002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/c942cdf1c3f3/kjhugr-2024-0002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/4c0532b57a56/kjhugr-2024-0002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/cac88e5d15ff/kjhugr-2024-0002f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df54/11967526/3db499b0313a/kjhugr-2024-0002f5.jpg

相似文献

1
Upper Gastrointestinal Tract Foreign Bodies.上消化道异物
Korean J Helicobacter Up Gastrointest Res. 2024 Mar;24(1):24-30. doi: 10.7704/kjhugr.2024.0002. Epub 2024 Mar 8.
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
[Review of 209 cases of foreign bodies in the upper gastrointestinal tract and clinical factors for successful endoscopic removal].[209例上消化道异物回顾及内镜成功取出的临床因素]
Korean J Gastroenterol. 2004 Apr;43(4):226-33.
4
Risk factors for complications associated with upper gastrointestinal foreign bodies.上消化道异物相关并发症的危险因素。
World J Gastroenterol. 2015 Jul 14;21(26):8125-31. doi: 10.3748/wjg.v21.i26.8125.
5
[Endoscopic management of ingested foreign bodies in the upper gastrointestinal tract in childhood: a retrospective study of 1 334 cases].[儿童上消化道异物内镜处理:1334例回顾性研究]
Zhonghua Er Ke Za Zhi. 2018 Jul 2;56(7):495-499. doi: 10.3760/cma.j.issn.0578-1310.2018.07.005.
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Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China.上消化道异物的内镜处理:中国846例病例分析
Exp Ther Med. 2018 Feb;15(2):1257-1262. doi: 10.3892/etm.2017.5561. Epub 2017 Nov 24.
7
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.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。
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Endoscopic Management of Foreign Body Impaction in the Upper Gastrointestinal Tract in a Tertiary Care Centre of Nepal.尼泊尔一家三级护理中心对上消化道异物嵌塞的内镜处理。
Kathmandu Univ Med J (KUMJ). 2020 Apr-Jun;18(70):139-143.
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Endoscopic removal of foreign bodies in children.儿童内镜下异物取出术
Kaohsiung J Med Sci. 2007 Sep;23(9):447-52. doi: 10.1016/S1607-551X(08)70052-4.
10
[Foreign bodies in the upper gastrointestinal tract. Personal experience].[上消化道异物。个人经验]
Clin Ter. 2007 Jul-Aug;158(4):291-5.

本文引用的文献

1
Ingestion of a row of artificial dentures in an adult: A case report and review of the literature.一名成人误食一排假牙:病例报告及文献综述
Medicine (Baltimore). 2023 Oct 13;102(41):e35426. doi: 10.1097/MD.0000000000035426.
2
Endoscopic failure for foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: an updated analysis in a European tertiary care hospital.上消化道异物摄入和食物团块嵌塞的内镜治疗失败:一家欧洲三级保健医院的更新分析。
Eur J Gastroenterol Hepatol. 2023 Sep 1;35(9):962-967. doi: 10.1097/MEG.0000000000002602. Epub 2023 Jun 22.
3
Decision-To-Scope Score: A novel tool with excellent accuracy in predicting foreign bodies in the esophagus.
决策范围评分:一种预测食管异物的新型工具,具有出色的准确性。
J Gastroenterol Hepatol. 2023 Jun;38(6):970-975. doi: 10.1111/jgh.16206. Epub 2023 May 4.
4
Cap-assisted endoscopic treatment of esophageal food bolus impaction and/or foreign body ingestion: a systematic review and meta-analysis.帽辅助内镜治疗食管食物团块嵌塞和/或异物摄入:一项系统评价和荟萃分析。
Ann Gastroenterol. 2022 Nov-Dec;35(6):584-591. doi: 10.20524/aog.2022.0749. Epub 2022 Oct 17.
5
Cap-Assisted Endoscopic Esophageal Foreign Body Removal Is Safe and Efficacious Compared to Conventional Methods.与传统方法相比,帽辅助内镜下食管异物取出术安全有效。
Dig Dis Sci. 2023 Apr;68(4):1411-1425. doi: 10.1007/s10620-022-07741-z. Epub 2022 Nov 9.
6
Clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract.经内镜取出上消化道异物的临床疗效。
BMC Gastroenterol. 2021 Oct 19;21(1):385. doi: 10.1186/s12876-021-01959-3.
7
PRIMARY AORTOESOPHAGEAL FISTULA DUE TO ESOPHAGEAL FOREIGN BODY: A CASE REPORT.食管异物致原发性主动脉食管瘘:一例报告
Gastroenterol Nurs. 2021;44(6):458-462. doi: 10.1097/SGA.0000000000000612.
8
Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases.上消化道异物的内镜处理:1294例回顾性研究
Scand J Gastroenterol. 2017 Nov;52(11):1286-1291. doi: 10.1080/00365521.2017.1350284. Epub 2017 Jul 10.
9
Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature.胃肠道异物的内镜治疗:文献综述
Gastroenterol Res Pract. 2016;2016:8520767. doi: 10.1155/2016/8520767. Epub 2016 Oct 11.
10
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.