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学科主题: 临床医学
题名:
Therapeutic Effect of Esophageal Foreign Body Extraction Management: Flexible versus Rigid Endoscopy in 216 Adults of Beijing
作者: Yan, Xiu-e; Zhou, Li-ya; Lin, San-ren; Wang, Ye; Wang, Ying-chun
关键词: esophagus ; foreign body ; flexible endoscopy ; rigid endoscopy ; adult
刊名: MEDICAL SCIENCE MONITOR
发表日期: 2014-10-27
卷: 20, 页:2054-2060
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, Research & Experimental
研究领域[WOS]: Research & Experimental Medicine
关键词[WOS]: GASTROINTESTINAL-TRACT ; BODIES ; CHILDREN ; REMOVAL ; COMPLICATIONS ; INGESTION
英文摘要:

Background: The aim of this study was to assess the effectiveness and complications of rigid endoscopy (RE) and flexible endoscopy (FE) for the extraction of esophageal foreign bodies (FB) in adults.

Material/Methods: A retrospective analysis was conducted on the medical records of 216 adult patients with esophageal FB impaction treated at Peking University Third Hospital, Beijing, China, between January 2008 and December 2012.

Results: The success rate of FB extraction was 100% (142/142) in patients treated with RE compared to 97.3% (72/74) in those treated with FE (P=0.045). The total incidence of complications in RE-treated patients was lower than that in FE-treated patients (28.2% vs. 45.9%, P=0.009), but the perforation rate was higher (5.6% vs. 1.4%, P=0.135). The incidences of total complications and perforation were associated with the duration of FB impaction in patients who underwent RE (both P<0.05) but not in patients who underwent FE. RE was more frequently used in extraction of FBs located in the upper esophagus (88.7%, 126/142) compared to FE (60.8%, 45/74) (P<0.05). The size of extracted FB was significantly larger in patients treated with FE compared to those treated with RE (P<0.05).

Conclusions: Both RE and FE were effective in the extraction of esophageal FB. However, the perforation rate and the need for general anesthesia were higher in RE-associated extraction. FE may be the preferred endoscopic treatment for the extraction of esophageal FB, except possibly for those impacted in the upper esophagus. FB extraction may produce better outcomes if endoscopy is employed early.

语种: 英语
所属项目编号: 81100261
项目资助者: National Natural Science Foundation for Young Scholars
WOS记录号: WOS:000346197200001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55755
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Gastroenterol & Hepatol, Beijing 100871, Peoples R China

Recommended Citation:
Yan, Xiu-e,Zhou, Li-ya,Lin, San-ren,et al. Therapeutic Effect of Esophageal Foreign Body Extraction Management: Flexible versus Rigid Endoscopy in 216 Adults of Beijing[J]. MEDICAL SCIENCE MONITOR,2014,20:2054-2060.
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