A review of gastrointestinal foreign bodies
A review of gastrointestinal foreign bodies
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DOI：
10.1111/j.1368-5031.2006.00709.x
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发表时间：
2006-06-01
影响因子：
2.6
通讯作者：
Oke, T.
中科院分区：
文献类型：
--
作者：
Ayantunde, A. A.;Oke, T.
胃肠道（GIT）异物是急诊科的一个重要临床问题，造成了高度的经济负担、发病率和死亡率。在不同年龄组中，各种各样的异物被意外摄入或插入GIT。本文回顾性分析了2001年1月至2004年12月期间因GIT异物而到急诊科就诊的38例患者。对患者的个人资料、异物的性质和进入GIT的方式进行计算机数据库和病例记录检索。男30例，女8例（男：女比例为3.75：1），年龄范围为10个月至87岁（中位年龄25.5岁）。14例患者的异物摄入/插入是意外的，11例是故意的，11例是肛门色情，2例是攻击的结果。发病前中位时间为12小时，平均住院时间为1.7天。保守治疗15例，5例行胃镜下取出，15例行麻醉、取出及乙状结肠镜检查，3例行开腹手术取出嵌顿性异物。胃肠道内异物是常见的，但大多数病例可以成功保守治疗。
Gastrointestinal tract (GIT) foreign bodies represent a significant clinical problem in the Emergency Department, causing a high degree of financial burden, morbidity and mortality. A large variety of foreign bodies are accidentally ingested or inserted into the GIT in different age groups.This a retrospective review of 38 patients who presented to the Emergency Department with GIT foreign bodies between January 2001 and December 2004. Computer database and case note search of patients' personal data, nature of the foreign objects and mode of entry to the GIT were recorded.There were 30 males and eight females (M : F ratio of 3.75:1) with an age range of 10 months to 87 years (median age 25.5 years). Foreign body ingestion/insertion was accidental in 14 patients, deliberate in 11, for anal erotism in 11 and as a result of assault in two cases. The median time before presentation was 12 h, and the mean length of hospital stay was 1.7 days. Treatment was conservative in 15 patients; five patients had gastroscopic retrieval; 15 patients underwent examination under anaesthetic, retrieval and proctosigmoidoscopy and three patients underwent laparotomy for impacted foreign bodies.GIT foreign body ingestion or insertion is common; however, majority of cases can be successfully managed conservatively.