Ciała obce przełyku Foreign bodies of the esophagus
Transkrypt
Ciała obce przełyku Foreign bodies of the esophagus
Ciała obce przełyku Foreign bodies of the esophagus Daniel Majszyk, Antoni Bruzgielewicz, Ewa Osuch-Wójcikiewicz, Robert Bartoszewicz, Kazimierz Niemczyk ABSTRACT The aim of the study is the epidemiological and clinical analysis of patients with radiologically confirmed esophageal foreign body, hospitalized in the Department of Otolaryngology, at the Medical University of Warsaw. Material and methods: The analysis included 104 patients (42 women, 62 men). Results: The patients age ranged from 13 to 93, the average age was 52.7. The vast majority of patients was reported to the hospital within the first day of the occurrence of the symptoms ‒ 62% of the cases, 28% reported within two days, 3% on the third day and 7% of the cases reported after 3 days. The most commonly reported complaints were dysphagia, painful swallowing, salivation, nausea, and vomiting. In nearly half of all cases the foreign body turned out to be a food item. The esophageal foreign bodies were most frequently encountered in the upper esophageal sphincter area (34.6%, represented by 26 patients), and in the esophageal hiatus of the diaphragm (29.4% represented by 22 patients). All patients were subjected to rigid esophagoscopy under general anesthesia on the first day of hospitalisation. Conclusions: Esophageal endoscopy remains the most common and safest way to treat the impaction of a foreign body. Hasła indeksowe: ciało obce, przełyk Key words: Foreign body, Esphagus