Kpémissi E, Diparidé Agbèrè A R, Ndakéna K, Késsié K
Service de pédiatrie, CHU Tokoin, Lomé, Togo.
Sante. 1997 Sep-Oct;7(5):338-40.
To give details of the management of esophageal foreign bodies (EFB) at our hospital.
Retrospective case review.
ENT ward of Tokoin Teaching Hospital, Lome, Togo.
All 105 patients admitted to the hospital for ingestion of foreign bodies between January 1990 and December 1993. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used.
EFBs accounted for 6.5% of all hospital admissions. The objects ingested included coins (59.0% of cases), particularly in 2 to 5 year-old children, fish bones (12.4%), meatballs, meat bones and dentures, particularly in adults. The foreign objects were mostly removed by esophagoscopy, but sharp objects required esophagotomy (2.9%). One patient died (0.9% of cases) due to mediastinitis caused by perforation of the esophagus by a chicken bone.
Community health education programs, increasing awareness of household accidents might reduce the number of emergency hospital admissions for ingestion of foreign bodies.
详细介绍我院食管异物（EFB）的处理情况。
回顾性病例分析。
多哥洛美托科因教学医院耳鼻喉科病房。
1990年1月至1993年12月期间因吞食异物入院的所有105例患者。通过检查患者的人口统计学信息、异物识别及所采用的取出 procedure 的医院记录来确定每位患者的结局。
食管异物占所有住院病例的6.5%。吞食的物体包括硬币（占病例的59.0%），尤其在2至5岁儿童中，鱼骨（12.4%）、肉丸、肉骨和假牙，尤其在成人中。异物大多通过食管镜取出，但尖锐物体需要进行食管切开术（2.9%）。1例患者（占病例的0.9%）因鸡骨导致食管穿孔引起纵隔炎死亡。
社区健康教育项目，提高对家庭事故的认识，可能会减少因吞食异物而急诊入院的人数。
