Morales-Angulo C, Rodríguez Iglesias J, Mazón Gutiérrez A, Gómez Castellano R, Rama J
Servicio de ORL, Hospital Sierrallana, Torrelavega.
Acta Otorrinolaringol Esp. 1998 Nov-Dec;49(8):644-6.
To study the management (diagnostic and therapeutic) of esophageal foreign bodies.
A retrospective study was made of all rigid esophagoscopies performed for suspected foreign bodies in the esophagus by the otolaryngology department of Marqués de Valdecilla Hospital (Santander, Spain) from 1992 to 1996.
Rigid esophagoscopy was performed for suspected foreign bodies in 195 patients (121 females, 74 males; age range 2 to 97 years). In 183 cases an impacted foreign body was found. The most frequent location was the upper third of the esophagus (165/85.2%). The most common type of foreign body was fish bones in adults (75/171) and coins in children (7/12). In 145 cases a barium esophagogram was obtained before surgery, which yielded 1 false negative and 8 false positives. In 16 patients flexible endoscopy had failed previously to remove the foreign body. Twelve patients (all adults) had serious complications.
The barium esophagogram and rigid esophagoscopy are still appropriate techniques for managing esophageal foreign bodies.
研究食管异物的处理（诊断与治疗）。
对1992年至1996年西班牙桑坦德市瓦尔迪西利亚侯爵医院耳鼻喉科为疑似食管异物患者进行的所有硬质食管镜检查进行回顾性研究。
195例患者（121例女性，74例男性；年龄范围2至97岁）因疑似食管异物接受了硬质食管镜检查。183例发现有异物嵌顿。最常见的部位是食管上段（165例/85.2%）。成人最常见的异物类型是鱼骨（75例/171例），儿童是硬币（7例/12例）。145例患者在手术前行食管钡餐造影，其中1例假阴性，8例假阳性。16例患者此前经软性内镜未能取出异物。12例患者（均为成人）出现严重并发症。
食管钡餐造影和硬质食管镜检查仍是处理食管异物的合适技术。
