上部消化管異物の内視鏡的摘出についての検討

DOI 被引用文献10件

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タイトル別名
  • FIBERENDOSCOPIC REMOVAL OF UPPER GASTROINTESTINAL FOREIGN BODIES

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During the past 10 years we have experienced 41 cases of ingested upper gastrointestinal foreign bodies. Endoscopical removal technique was applied in 28 cases and foreign bodies (89.3%) e. g. razor blade, dentures, long wires, reamers, medicine press-throughpackages, etc., were removed successfully. In the remaining 12 cases, 4 objects were removed using the Foley balloon catheter technique, 6 cases by spontaneous defecation. Malacotomy was performed in one case and laparotomy in the remaining case. We divided the upper gastrointestinal foreign bodies into three groups from the standpoint of endoscopical removal. Group I included round or cuboidal objects with a smooth margin ; Group II included needle-like shaped foreign bodies and cuboidal objects with sharp edges ; Group III included slim and long objects . We succeeded to remove unusual foreign bodies using such devices as plastic test tube and balloon catheter. In review of the literatures, we introduced some effective removal techniques using special devices, such as hood, colon stiffening tube, plastic overtube, cuff or nylon bag. It is suggested that there is the possibility of endoscopical removal of upper gastrointestinal foreign bodies which has heretofore been considered impossible to remove endoscopically.

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