Esophageal Foreign Bodies in Western Japan.

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  • 西日本各地の施設における食道異物症

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Abstract

A statistical study was made of cases of esophageal foreign bodies encountered in our clinic during the years from 1979 to 1988 and in selected institutions in western Japan in 1989. The results were as follows.<BR>1) Esophageal foreign bodies were found more often in females than in males in both patient groups. Two peaks were observed in the age distribution; one in children below the age 10 years and the other in the people above 60 years in both patient groups. 2) Coins were the most numerous type of foreign body in the cases at our clinic, while fish bones were prominent in the other area of western Japan. 3) Coins were the most numerous type in children below the age 10 years, whereas PTPs and fish bones were numerous in patients above the age 10 years. 4) Most of the foreign bodies were lodged at the esophageal orifice. 5) Most of the foreign bodies were removed with a rigid esophagoscope. A majority of the cases were treated under general anesthesia. 6) The most common esophageal foreign bodies were PTPs in large cities such as Osaka and Kobe, but fish bones in the other area of western Japan.

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