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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