[原著］Foreign bodies in the gastrointestinal tract : A report of 53 patients and a brief literature review

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The management of 53 patients with foreign bodies in their gastrointestinal tract is herein reported. Twenty-four were located in the esophagus, 21 in the stomach, 5 in the small bowel, 1 in the large bowel and 2 is unknown. A flexible gastrointestinal endoscope was the instrument of choice in 36 patients (67.9%) and a flexible colonoendoscope in 2 patients (3.8%). These 38 foreign bodies were all successfully managed endoscopically. The surgery rate was 3.8%. Twenty-six percent of the cases were managed under general anesthesia and no morbidlty and mortality were observed. Coins lodged in the esophagus and meat impactions were removed promptly. Sharp-pointed foreign bodies, however, can be difficult to manage, and should be removed as soon as possible. Button batteries lodged in the gastrointestinal tract represent an emergency situation and should be removed endoscopically or surgically. The flexible endoscope has become the instrument of choice in managing foreign bodies in the gastrointestinal tract.

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