Of upper digestive tract foreign bodies in dealing with emergency gastroscopy.docVIP

 PAGE \* MERGEFORMAT 12 Of upper digestive tract foreign bodies in dealing with emergency gastroscopy Keywords: foreign bodies in upper digestive tract endoscopy Upper digestive tract foreign bodies are common clinical emergency, emergency gastroscopy carried out, may be disease-oriented to provide timely and effective manner. Since October 2002 to May 2007, the Court diagnosis and treatment of upper digestive tract foreign bodies in 67 cases, was successfully removed by endoscopy in 65 patients with a success rate of 97%, and did not have any complications, the report is as follows. A clinical data 1.1 General Information 67 cases of upper digestive tract foreign bodies in 42 cases of male and female 25 cases; age 15 months to 85 years, mean 37.4 years of age. Of which 29 cases of esophageal foreign bodies, foreign bodies in 36 cases of stomach, duodenal foreign body in 2 cases. Foreign Bodies Category: Food clumps in 4 cases, coins in 7 cases, fishbone, bone slices and glass fragments in 17 cases, 2 cases of gold rings, bracelets in 2 cases, denture eight cases, three cases of double-sided knife and paper knife, nails and pins in 4 cases, lighters in 2 cases, chopsticks, and toothbrush, spoon in 5 cases, button batteries and 3 cases of sub-Go, the other 6 cases, gastrolith 4 cases. Etiology: the perpetrators of suicide attempts or to seek medical treatment in detention, 12 cases of oral intake of foreign bodies in 51 cases, gastrolith 4 cases. Course of the disease: from swallowed foreign bodies to the treatment time of 15min ~ 6d. 1.2 Methods (1) the adequacy of preoperative preparation on the microscope, remove the foreign body is essential for success. Understanding of history, preoperative examination of a clear foreign body size, shape and location. In recruiting foreign body before the application of various instruments to take foreign bodies to simulate analogs in vitro experiment [1], select the appropriat