内镜下治疗食物团块导致的食管异物嵌顿的临床效果

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Abstract Objective To study the clinical effect of digestive endoscopy in the treatment of esophageal foreign body incarceration caused by food clumps. Methods A retrospective analysis was performed on the patients who visited the hospital due to food mass incarceration in the esophagus from January 2018 to June 2021 in the People’s Hospital of Bozhou. Patients were given preoperative routine examination and endoscopic intervention. The foreign body types, comorbidities, anesthesia rate, hospitalization rate, and complication rate of all patients were counted. Results A total of 62 eligible patients were retrospectively analyzed. Among them, 17 cases of food clumps were incarcerated in the upper esophagus, 25 cases in the middle, and 20 cases in the lower esophagus. The incarcerated food clumps were 41 cases of animal meat, eight cases of steamed bread, six cases of fruits and vegetables, four cases of gluten, and three cases of other cases. Endoscopy revealed 28 cases with esophageal lesions, including 19 cases of esophageal cancer, five cases of benign esophageal stricture, two cases of reflux esophagitis, one case of hiatal hernia, and one case of eosinophilic esophagitis. Among the 62 patients, 17 cases were given intravenous anesthesia, and 13 cases were admitted to hospital for further examination and treatment. All patients were relieved of incarceration under endoscopic treatment. A total of eight cases were found to have mucosal erosions, four cases of mucosal ulcers, and three cases of mild mucosal oozing. No serious complications occurred. Conclusion Endoscopic treatment of esophageal food clumps incarcerated by a foreign body has a high success rate, strong safety and reliability, and a low incidence of serious adverse events.

Key words： Gastrointestinal endoscopy Esophageal foreign body Food clumps Clinical effect

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	XU Xiaoli YAN Bichun

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XU Xiaoli YAN Bichun. Clinical effect of endoscopic treatment of esophageal foreign body incarceration caused by food clumps[J]. 中国医药导报, 2022, 19(14): 130-132,137.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I14/130

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