| 상부 위장관 이물의 내시경적 치료 |
| 이태희·이기세·임의혁·허규찬·이창원·최용우·강영우 |
| 건양대학교 의과대학 내과학교실 소화기내과 |
| Endoscopic Removal of Foreign Bodies in the Upper Gastrointestinal Tract |
| Tae Hee Lee, M.D., Gi Se Lee, M.D., Eui Hyeog Im, M.D., Kyu Chan Huh, M.D.,Chang |
| Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang |
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| Abstract |
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Background/Aims:
Foreign bodies in the upper gastrointestinal tract are produced chiefly
by accidental swallowing, but rarely produce symptoms. Although most foreign bodies pass
spontaneously, 10∼20% of those need treatment. We evaluated the role of endoscopy for removal
of foreign bodies in the upper gastrointestinal tract.
Methods:
We retrospectively reviewed 80 cases
of foreign bodies in the upper gastrointestinal tract who had been treated using endoscopy at
Konyang University Hospital from February 2000 to July 2003.
Results:
The age ranged from 14
months to 75 years (mean 36.8 years-old). Patients over 60 years, under 10 years were 20 cases
and 28 cases, respectively and male to female ratio was 1.1：1. Common foreign bodies are coin
(20 cases), fishbone (12 cases), animal bone (11 cases) and meat stuff (9 cases). The most
common location was the esophagus (68.8%). In most cases (88.8%), foreign bodies were removed
using alligator tooth forceps. Fourteen patients had co-morbidities such as esophageal diseases,
psychiatric disorders, diabetes mellitus, hypertension, stomach cancer, and subtotal gastrectomy
Conclusions:
Endoscopy is a useful tool for removal of foreign bodies in the upper gastrointestinal
tract. (Korean J Gastrointest Endosc 2004;28:6166) |
| Key Words:
Foreign body, Upper gastrointestinal tract, Endoscopy |
| 주요어:
상부 위장관 이물, 내시경적 치료 |
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