内镜治疗对消化道异物患者的安全性与可行性分析OA

Objective To explore the safety and feasibility of endoscopic treatment for patients with foreign bodies in digestive tracts.Methods The data of 77 patients with foreign bodies in digestive tracts treated by endoscopy in Department of Gastroenterology,Gaoxin Branch of The First Affiliated Hospital,Jiangxi Medical College,Nanchang University from October 10,2019 to August 20,2023 were retrospectively analyzed.There were 41 males and 36 females.They were 2-91(46.40±27.03)years old.Seventy-five patients(97.4％)had foreign bodies in the upper digestive tracts,and 2(2.6％)the lower digestive tracts.Results Among the 77 patients,45 cases(58.4％)had foreign bodies in the upper esophageal segments.The main foreign bodies were fish bones[32.4％(25/77)]and other animals'bones[20.8％(16/77)].Most foreign bodies were sharp,with a proportion up to 51.9％(40/77).The one-time successful removal rate of foreign bodies was 100.0％(77/77).The total incidence of complications in endoscopic foreign body removal was 57.1％(44/7,),including 36 cases of mild complications[81.8％(36/44)],4 cases of gastrointestinal perforation[9.1％(4/44)],3 cases of wound damage with infection[6.8％(3/44)],and 1 case of active bleeding[2.3％(1/44)].Conclusions Endoscopic treatment is the first choice for the treatment of foreign bodies in the digestive tracts.Foreign bodies should be removed as soon as possible to reduce complications related to foreign bodies.Endoscopic treatment of foreign bodies in digestive tracts is safe and effective.