Nandi P, Ong G B
Br J Surg. 1978 Jan;65(1):5-9. doi: 10.1002/bjs.1800650103.
A total of 2394 patients with a foreign body in the oesophagus was treated in our unit between 1965 and 1976, including 343 children in whom fish bones (146) and coins (134) were most commonly responsible; in adults, bones (fish and chicken) were commonest. Most of the foreign bodies were impacted in the cervical oesophagus. Pharyngoscopy and oesophagoscopy were carried out under general anaesthesia in all cases except those in which the foreign body was ejected spontaneously or when the patient refused the examination. Oesophageal perforation due to a foreign body was encountered in only one child. Two patients in the series developed the fearsome complication of oesophagoaortic fistula.
1965年至1976年间，我们科室共治疗了2394例食管异物患者，其中包括343名儿童，最常见的异物是鱼骨（146例）和硬币（134例）；在成人中，骨头（鱼骨头和鸡骨头）最为常见。大多数异物嵌顿在颈段食管。除异物自行排出或患者拒绝检查的情况外，所有病例均在全身麻醉下进行喉镜和食管镜检查。仅1名儿童发生了异物所致的食管穿孔。该系列中有2例患者出现了可怕的食管主动脉瘘并发症。
