Campbell J B, Foley L C
Arch Otolaryngol. 1983 May;109(5):323-5. doi: 10.1001/archotol.1983.00800190045011.
An alternative to the endoscopic removal of blunt esophageal foreign bodies is proposed. A Foley catheter is inserted into the esophagus and its balloon is utilized to extract the foreign body under fluoroscopic control. Experience with over 100 children with blunt esophageal foreign bodies has led us to conclude that the technique is easily performed, safe, and highly cost-effective. To protect the esophagus, care must be taken to ensure that the foreign body has no sharp or ragged edges, that it has been in place less than two weeks, and that there is no underlying esophageal disease. To ensure that no compromise of the airway occurs, several safeguards are employed, including orally inserting and withdrawing the catheter, monitoring the procedure fluoroscopically, and placing the patient in a prone oblique position with the fluoroscopic table steeply inverted.
本文提出了一种内镜下取出钝性食管异物的替代方法。将一根 Foley 导管插入食管，并利用其球囊在透视引导下取出异物。对 100 多名患有钝性食管异物的儿童的经验使我们得出结论，该技术操作简便、安全且成本效益高。为保护食管，必须注意确保异物没有尖锐或参差不齐的边缘，异物已存在不到两周，且没有潜在的食管疾病。为确保气道不受影响，采取了多项保障措施，包括经口插入和拔出导管、透视监测操作过程，以及将患者置于俯卧斜位并将透视台大幅倒置。
