Popovici Z, Dimitriu A, Cerchez E, Georgescu M, Pironcof M
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Sep-Oct;29(5):357-62.
The authors present 15 cases of patients with pharyngo-oesophageal foreign bodies, of which 6 occurred in subjects with a normal, healthy oesophagus. In two cases the foreign bodies were eliminated spontaneously, one was extracted by endoscopy, two through cervicotomy and one through thoracotomy. The author stress the fact that dental prostheses are very rarely swallowed, and the deglutition of a live fish is mentioned --. In 7 patients the foreign body became struck in an old post-caustic oesophageal stenosis. In one of these patients the foreign body was extracted by thoracotomy, in 3 cases gastrostomy was performed, in 2 cases colo-oesophagoplasty was necessary and in one case the oeso-colic stenosis was recalibrated. The late results were excellent, excepting one case when the patient died a short time after surgery through a cerebral vascular accident. The therapeutic attitude was differentiated in relation with the condition of the oesophagus, the site of the foreign body and the time of hospitalization.
作者报告了15例咽食管异物患者，其中6例发生在食管正常、健康的受试者中。2例异物自行排出，1例经内镜取出，2例经颈部切开取出，1例经开胸手术取出。作者强调假牙很少被吞咽这一事实，并提到了活鱼被吞咽的情况。7例患者的异物卡在陈旧性腐蚀性食管狭窄处。其中1例患者经开胸手术取出异物，3例行胃造瘘术，2例需要行结肠代食管术，1例对食管结肠狭窄进行了重新校准。除1例患者术后不久因脑血管意外死亡外，远期效果良好。治疗方法根据食管状况、异物位置和住院时间而有所不同。
