analysis of upper gastrointestinal endoscopic foreign body to take（分析上消化道内窥镜异物）.doc

Analysis of upper gastrointestinal endoscopic foreign body to take [Keywords:] on the digestive tract; foreign body; endoscopic August 1998 - December 2007, our hospital with upper gastrointestinal endoscopic successful foreign body removal, 86 cases were satisfactory. Now we feel the report is as follows. Clinical data 1.1 In general 86 cases, 57 cases of male and 29 females; aged 13 to 68 years, mean 42.3 years, of which oral intake of 63 cases, 21 cases of self-service, worms 2; will pharyngeal foreign body in 5 cases, 53 cases of esophageal foreign body, gastric foreign body in 26 cases, duodenal foreign body in 2 cases. foreign body types include: animal bone in 32 cases, the metal prosthesis in 16 cases, the resin denture in 3 cases, clumps of meat in 8 cases, 2 cases of roundworm, bamboo stick in 2 cases, coins 7 cases, 4 cases of metal, glass balls in 1 case, button 2 cases, key in 1 case, nail in 3 cases, the plastic film in 3 cases, treatment time 30 min ~ 6 h. mild foreign body abrasions caused by esophageal mucosa in 16 cases, laceration and bleeding esophageal mucosa in 10 cases, gastric mucosal damage and extensive bleeding in 3 cases, no mucosal damage 57 patients. 1.2 Treatment 1.2.1 preoperative preparation After detailed history and X-ray, CT, endoscopy and other tests to understand the nature of foreign body, shape, size, ingestion time, fixation methods [1], and after the onset of symptoms and changes in the disposition to foreign patients and their families may the damage caused and the superiority of this technology, effectiveness and possible risks, and obtain their informed understanding of informed consent after the sign for the data, while providing psychological comfort and ease the tension, so that patients can better cooperate with the examination and treatment. 1.2.2 Equipment and drug preparation Endoscopy is Fujinon gastroscope PPWR Remove the equipment for the biopsy forceps, alligator forceps lip