食管異物損傷診治35例報告

Report of 35 cases of esophageal foreign body and its management

目的討論食管異物刺傷的狀況和治療方案。方法回顧本院2010年~2013年6月共3年半食管異物刺傷的病歴資料,共35個案,按異物種類,異物位置和取出異物的時間和方法等統計。結果異物類型魚骨16例(佔46%),鷄骨13例(佔37%);食管損傷位置分頸段17例(即57%)、胸段食管13例(佔43%),24小時内取出異物佔33例,2例超過24小時仍能經胃鏡成功取出。結論食管異物刺傷多經胃鏡可以順利取出,少數病例即使第1次内鏡未能取出,抗炎後仍有機會經内鏡成功取出。

Objective To assess the treatment of esophageal foreign body.Methods Retrospective study of 35 cases of esophageal injury caused by foreign body from 2010 to 2013.Types of foreign bodies,location of injury and its management were analyzed.Results Most of the foreign bodies were fish bones(43%)and chicken bones(37%),cervical esophageal injury was 57%and thoracic esophageal injury was 43%.In 33 cases foreign bodies were removed successfully by endoscope within 24 hours,in 2 cases foreign bodies were removed after 24 hours by endoscope.Conclusion Most of esophageal injury caused by foreign bodies can be removed successfully by endoscopic technique,few patients failed in prompt removal of foreign bodies at initial endoscope attempt but still have chance of removal after antibiotics therapy.