ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Esophageal Foreign Bodies In Adults
Dr.Şevval EREN,a Dr.Refik ÜLKÜ,a Dr.Emin Sırrı BAYAR,a Dr.Serdar ONAT,a Dr.M. Nesimi ERENb
aGöğüs Cerrahisi AD, bKalp Damar Cerrahisi AD, Dicle Üniversitesi Tıp Fakültesi, DİYARBAKIR
Objective: A retrospective study was conducted in 98 adult patients with esophageal foreign bodies to assess the characteristics of said foreign bodies, methods of treatment and complications.
Material and Methods: From January 1990 through June 2002, 98 adult patients were treated for esophageal foreign bodies. We retrospectively reviewed the hospital records of patients at Dicle University School of Medicine, Department of Thoracic and Cardiovascular Surgery. In all patients, rigid esophagoscopy was done under general anesthesia.
Results: There were 62 female (63.3%) and 36 male patients (36.7%). Mean age was 52.8 (range, 17-80). The main symptoms complained of were odinophagy and sensation of impaction. The location of the foreign bodies was in the cervical esophagus in 82.7% cases, in the thoracic in 11.2% and in the distal esophagus in 3.1%. The most common objects found were bone, bone in meat and meat (67.3%). Esophageal foreign bodies were removed under general anesthesia by rigid esophagoscopy or under direct vision by laryngoscope. Surgical removal was performed in 2 patients. There were 3 esophageal perforations due to esophagoscopy and one due to delay on admission. Mortality was not seen.
Conclusion: Clinical history and patient symptoms were the most valuable elements in determining patient eligibilty for esophagoscopy. Due to the possibilty of potentially life-threatening complications, early recognition and treatment is essential for esophageal foreign bodies. We found rigid esophagoscopy to be a safe, reliable technique for the removal of such bodies.Keywords: Adult, esophagus, foreign bodyTurkiye Klinikleri J Med Sci 2004, 24:147-152
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