2024-03-28T23:57:16Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015578
2022-10-31T07:40:31Z
1642838163960:1642838198944:1642838199408:1642838223797
1642838403551:1642838412624
[原著]消化管異物80例の検討
Foreign bodies in the gastrointestinal tract : A review of eighty cases
豊見山, 健
仲里, 秀次
末田, 南
川満, 博昭
上田, 真
Tomiyama, Takeshi
Nakazato, Hidetsugu
Sueda, Minami
Kawamitsu, Hiroaki
Ueda, Makoto
Foreign body
gastrointestinal tract
management
Foreign bodies in the gastrointestinal tract are commonly encountered m clinical practice. Many foreign bodies traverse the gastrointestinal tract without incident, but others cause complications such as obstruction, perforation and abscess formation. Purpose: To examine clinical characteristics of the foreign bodies in the gastrointestinal tract and to determine the optimal management. Patients and Methods: Forty-one male and thirty-nine female cases, who were managed for foreign bodies in the gastrointestinal tract in our hospital between April 2002 and March 2005 were studied. Result: The fish bone was the most common foreign body, followed by coin, battery, shrimp shell, padlock, press through package, key, plastic, marble, dental bridgework, seed, and capsule. Fifty-nine of these were in the pharynx, four in the esophagus, eight in the stomach, nine in the small bowel, two in the colon, and one in the rectum. Most foreign bodies were expelled from the anus without any treatment (47%; n=39). Endoscopic or direct removal was possible in 43% (n=36) of the patients. Surgery was required in only 10% (n=8). Seven patients showed perforation and one showed intraabdominal abscess, and all of these complications were treated by surgical intervention. Two patients developed retropharyngeal abscess. They were able to be conservatively treated. Conclusion: Pharyngeal and esophageal foreign bodies may require urgent direct or endoscopic removal. Foreign bodies in the stomach do not require immediate removal unless they are deemed likely to cause perforation or obstruction. Other objects may be expelled on their own without any treatment. Complications including perforation and abscess were treated by surgery or antibiotic therapy. There was no mortality or major morbidity in this series.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
2007
VoR
1346-888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
1・2
26
74
69
jpn
open access
琉球医学会