内镜下处理上消化道异物的研究进展

Research progress of endoscopic management of foreign bodies in the upper digestive tract

上消化道异物常包括食源性和非食源性两类,多数可不经处理自行排出体外,但仍有部分需行内镜下处理。消化道异物为常见的消化科急症,若不能及时处理,常引起严重并发症(如出血、穿孔等),甚至死亡。对于不同类型的消化道异物,及时诊断及合适的治疗方案选择尤其重要,可有效降低相关并发症的发生率。相比于传统手术治疗,内镜处理消化道异物具有明显优势,成为此类疾病的首选治疗方法。本文将对上消化道异物的最佳处理方案作一概述。

Foreign bodies in upper gastrointestinal tract include two categories： food borne and non-food borne. Most of foreign bodies are allowed to pass the gastrointesstinal tract spontaneously. However,few part of foreign bodies need endoscopic management. Foreign body in digestive tract is a common digestive emergency. If not treated promptly,it will causes serious complications（such as bleeding,perforation,et al） and even death. For different types of foreign bodies in the digestive tract,timely diagnosis and appropriate treatment options are particularly important,which can effectively reduce the incidence of related complications. Endoscopic management of foreign bodies in digestive tract has obvious advantages compared with traditional surgery,and has become the preferred treatment for this disease. This article discussed the best treatment scheme of the foreign body in the upper digestive tract.