切换至 "中华医学电子期刊资源库"

中华危重症医学杂志(电子版) ›› 2020, Vol. 13 ›› Issue (06) : 446 -452. doi: 10.3877/cma.j.issn.1674-6880.2020.06.008

所属专题: 文献 指南共识

标准与指南

成人食管异物急诊处置专家共识(2020版)
中国企业管理研究会公共卫生与医疗健康管理研究院, 浙江长三角健康科技研究院老年病急救技术研究部, 浙江省增龄与理化损伤性疾病诊治研究重点实验室, 浙江省医学会创伤医学分会   
  1. 1. 浙江大学医学院附属第一医院
  • 收稿日期:2020-12-15 出版日期:2020-12-31
  • 基金资助:
    "十三五"浙江省中医药(中西医结合)重点学科建设项目(2017-XK-A36); 浙江省重点研发计划项目(2019C03076)

Consensus on Emergency Treatment of Adult Esophageal Foreign Bodies (2020 edition)

Public Health and Medical Health Management Institute of Chinese Institute of Business Administration, Geriatric Emergency Technology Department of Zhejiang Yangtze Delta Institute of Health Science and Technology, Zhejiang Provincial Key Laboratory for Diagnosis and Treatment of Aging and Physic-Chemical Injury Diseases   

  • Received:2020-12-15 Published:2020-12-31
引用本文:

中国企业管理研究会公共卫生与医疗健康管理研究院, 浙江长三角健康科技研究院老年病急救技术研究部, 浙江省增龄与理化损伤性疾病诊治研究重点实验室, 浙江省医学会创伤医学分会. 成人食管异物急诊处置专家共识(2020版)[J]. 中华危重症医学杂志(电子版), 2020, 13(06): 446-452.

Public Health and Medical Health Management Institute of Chinese Institute of Business Administration, Geriatric Emergency Technology Department of Zhejiang Yangtze Delta Institute of Health Science and Technology, Zhejiang Provincial Key Laboratory for Diagnosis and Treatment of Aging and Physic-Chemical Injury Diseases. Consensus on Emergency Treatment of Adult Esophageal Foreign Bodies (2020 edition)[J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2020, 13(06): 446-452.

图1 食管异物推荐多学科急诊诊治流程
图2 不典型症状/无异物吞食史患者诊治流程
图3 生命体征不稳定患者诊治流程
1
Zhang SH, Cui Y, Gong XR, et al. Endoscopic mana-gement of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases[J]. Dig Dis Sci, 2010, 55 (5): 1305-1312.
2
Geng C, Li X, Luo R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1 294 cases[J]. Scand J Gastroenterol, 2017, 52 (11): 1286-1291.
3
Ikenberry SO, Jue TL, Anderson MA, et al. Manage-ment of ingested foreign bodies and food impactions[J]. Gastrointest Endosc, 2011, 73 (6): 1085-1091.
4
Birk M, Bauerfeind P, Deprez P, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline[J]. Endoscopy, 2016, 48 (5): 489-496.
5
Guelfguat M, Kaplinskiy V, Reddy SH, et al. Clinical guidelines for imaging and reporting ingested foreign bodies[J]. AJR Am J Roentgenol, 2014, 203 (1): 37-53.
6
中华医学会消化内镜学分会. 中国上消化道异物内镜处理专家共识意见(2015年,上海)[J]. 中华消化内镜杂志,2016,33(1):19-28.
7
Chirica M, Kelly MD, Siboni S, et al. Esophageal em-ergencies: WSES guidelines[J]. World J Emerg Surg, 2019 (14): 26.
8
Longstreth GF, Longstreth KJ, Yao JF. Esophageal foo-d impaction: epidemiology and therapy. A retrospective, observational study[J]. Gastrointest Endosc, 2001, 53 (2): 193-198.
9
Xia Y, Zhang F, Xu H, et al. Use of the blue cotton screen method with endoscopy to detect occult esophageal foreign bodies[J]. Wideochir Inne Tech Maloinwazyjne, 2017 (4): 428-436.
10
Aiolfi A, Ferrari D, Riva CG, et al. Esophageal fore-ign bodies in adults: systematic review of the literature[J]. Scand J Gastroenterol, 2018, 53 (10 / 11): 1171-1178.
11
Gurevich Y, Sahn B, Weinstein T. Foreign body inge-stion in pediatric patients[J]. Curr Opin Pediatr, 2018, 30 (5): 677-682.
12
Zhong Q, Jiang R, Zheng X, et al. Esophageal foreign body ingestion in adults on weekdays and holidays: a retrospective study of 1 058 patients[J]. Medicine (Baltimore), 2017, 96 (43): e8409.
13
Evans DC, Wojda TR, Jones CD, et al. Intentional ingestions of foreign objects among prisoners: a review[J]. World J Gastrointest Endosc, 2015, 7 (3): 162-168.
14
Ruan WS, Li YN, Feng MX, et al. Retrospective ob-servational analysis of esophageal foreign bodies: a novel characterization based on shape[J]. Sci Rep, 2020, 10 (1): 4273.
15
Zigman A, Yazbeck S. Esophageal foreign body obstru-ction afteresophageal atresia repair[J]. J Pediatr Surg, 2002, 37 (5): 776-778.
16
Cook D, Zala A, Bollipo S, et al. Oesophageal food bolus obstruction and eosinophilic oesophagitis[J]. Intern Med J, 2019, 49 (8): 1032-1034.
17
Kim KY, Tsauo J, Song HY, et al. Evaluation of a new esophageal stent for the treatment of malignant and benign esophageal strictures[J]. Cardiovasc Intervent Radiol, 2017, 40 (10): 1576-1585.
18
Ambe P, Weber SA, Schauer M, et al. Swallowed foreign bodies in adults[J]. Dtsch Arztebl Int, 2012, 109 (50): 869-875.
19
Hong KH, Kim YJ, Kim JH, et al. Risk factors for complications associated with upper gastrointestinal foreign bodies[J]. World J Gastroenterol, 2015, 21 (26): 8125-8131.
20
Shen JY, Zhang HW, Fan KJ, et al. Aortoesophageal fistula and arch pseudoaneurysm after removing of a swallowed chicken bone: a case report of one-stage hybrid treatment[J]. BMC Surg, 2018, 18 (1): 3.
21
Liming BJ, Fischer A, Pitcher G. Bronchial compressi-on and tracheosophageal fistula secondary to prolonged esophageal foreign body[J]. Ann Otol Rhinol Laryngol, 2016, 125 (12): 1030-1033.
22
Zhao HY, Li YJ, Li Y, et al. Oesophageal foreign body in the left main bronchus[J]. Eur J Cardiothorac Surg, 2014, 45 (3): e75.
23
Fashandi AZ, Boys JA, Yount KW, et al. Isolated hemorrhagic pericardial effusion after foreign body ingestion[J]. Ann Thorac Surg, 2018, 106 (3): e141-e143.
24
Yuan J, Ma M, Guo Y, et al. Delayed endoscopic removal of sharp foreign body in the esophagus increased clinical complications: an experience from multiple centers in China[J]. Medicine (Baltimore), 2019, 98 (26): e16146.
25
Zhang XW, Jiang Y, Fu T, et al. Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment[J]. J Int Med Res, 2017, 45 (4): 1386-1393.
26
Zhao XH, Lu YQ. Multiple embolisms resulted from a huge fishbone piercing the left atrium[J]. Intensive Care Med, 2014, 40 (4): 621-622.
27
Long B, Koyfman A, Gottlieb M. Esophageal foreign bodies and obstruction in the emergency department setting: an evidence-based review[J]. J Emerg Med, 2019, 56 (5): 499-511.
28
Zhang XL, Liu JJ, Li JJ, et al. Diagnosis and treatm-ent of 32 cases with aortoesophageal fistula due to esophageal foreign body[J]. Laryngoscope, 2011, 121 (2): 267-272.
29
Woo SH, Kim KH. Proposal for methods of diagnosis of fish bone foreign body in the esophagus[J]. Laryngoscope, 2015, 125 (11): 2472-2475.
30
Liu YC, Zhou SH, Ling L. Value of helical computed tomography in the early diagnosis of esophageal foreign bodies in adults[J]. Am J Emerg Med, 2013, 31 (9): 1328-1332.
31
Aronberg RM, Punekar SR, Adam SI, et al. Esophag-eal perforation caused by edible foreign bodies: a systematic review of the literature[J]. Laryngoscope, 2015, 125 (2): 371-378.
32
Ma J, Kang DK, Bae JI, et al. Value of MDCT in diagnosis and management of esophageal sharp or pointed foreign bodies according to level of esophagus[J]. Am J Roentgenol, 2013, 201 (5): W707-W711.
33
Zhu ZH, Li W, Zhang L, et al. The predictive role of dual source CT for esophageal foreign bodies[J]. Am J Otolaryngol, 2014, 35 (2): 215-218.
34
钟华成,林惠卿,殷浩,等. 数字化X线与螺旋CT影像检查技术对食道异物的诊断价值比较[J]. 当代医学,2019,25(12):81-83.
35
邓晶,盛成,殷鹏,等. 颈段食管异物穿孔诊治[J]. 中国耳鼻咽喉头颈外科,2015,22(11):593-594.
36
Baylan JM, Mattix KD. Radiolucent esophageal foreign body presenting as a middle mediastinal mass and tracheoesophageal fistula[J]. J Thorac Cardiovasc Surg, 2014, 148 (5): 2420-2421.
37
Cao L, Chen N, Chen Y, et al. Foreign body embed-ded in the lower esophageal wall located by endoscopic ultrasonography: a case report[J]. Medicine (Baltimore), 2018, 97 (26): e11275.
38
Wu WT, Chiu CT, Kuo CJ, et al. Endoscopic manage-ment of suspected esophageal foreign body in adults[J]. Dis Esophagus, 2011, 24 (3): 131-137.
39
Gmeiner D, von Rahden BH, Meco C, et al. Flexible versus rigid endoscopy for treatment of foreign body impaction in the esophagus[J]. Surg Endosc, 2007, 21 (11): 2026-2029.
40
Chen T, Wu HF, Shi Q, et al. Endoscopic managem-ent of impacted esophageal foreign bodies[J]. Dis Esophagus, 2013, 26 (8): 799-806.
41
周怀力,徐晓华,李月婵,等. 双钳道胃镜在上消化道异物治疗中的应用[J]. 中国临床实用医学,2008,2(11):39-40.
42
Ferrari D, Aiolfi A, Bonitta G, et al. Flexible versus rigid endoscopy in the management of esophageal foreign body impaction: systematic review and meta-analysis[J]. World J Emerg Surg, 2018, 13 (1): 42.
43
Umihanic S, Brkic F, Umihanic S, et al. Foreign body impaction in esophagus: experiences at Ear-Nose-Throat Clinic in Tuzla, 20032013[J]. Kulak Burun Bogaz Ihtis Derg, 2015, 25 (4): 214-218.
44
Hauge T, Kleven OC, Johnson E, et al. Outcome after iatrogenic esophageal perforation[J]. Scand J Gastroenterol, 2019, 54 (2): 140-144.
45
Feng S, Peng H, Xie H, et al. Management of sharp-pointed esophageal foreign-body impaction with rigid endoscopy: a retrospective study of 130 adult patients[J]. Ear Nose Throat J, 2020, 99 (4): 251-258.
46
Zhang X, Zhang X, Tu C, et al. Analysis of the management and risk factors for complications of esophageal foreign body impaction of jujube pits in adults[J]. Wideochir Inne Tech Maloinwazyjne, 2018, 13 (2): 250-256.
47
Shih CW, Hao CY, Wang YJ, et al. A new trend in the management of esophageal foreign body: transnasal esophagoscopy[J]. Otolaryngol Head Neck Surg, 2015, 153 (2): 189-192.
48
Yan XE, Zhou LY, Lin SR, et al. Therapeutic effect of esophageal foreign body extraction management: flexible versus rigid endoscopy in 216 adults of Beijing[J]. Med Sci Monit, 2014 (20): 2054-2060.
49
刘素芹,刘冰熔. 透明帽在消化内镜诊疗中的应用进展 [J]. 胃肠病学和肝病学杂志,2014,23(2):121-123.
50
Benmansour N, Ouattassi N, Benmlih A, et al. Verte-bral artery dissection due to an esophageal foreign body migration: a case report[J]. Pan Afr Med J, 2014 (17): 96.
51
Bade KA. Catch me if you can: migrating oesophageal foreign body[J]. BMJ Case Rep, 2014 (2014): bcr2014203744.
52
Ruan WS, Lu YQ. The life-saving emergency thoracic endovascular aorta repair management on suspected aortoesophageal foreign body injury[J]. World J Emerg Med, 2020, 11 (3): 152-156.
53
Zeng L, Shu W, Ma H, et al. Aortic injury caused by esophageal foreign body-case reports of 3 patients and literature review[J]. Medicine (Baltimore), 2020, 99 (26): e20849.
54
Mitra A, Bajpai M. Impacted sharp oesophageal forei-gn bodies: a novel technique of removal with the paediatric bronchoscope[J]. J Trop Pediatr, 2016, 62 (2): 161-164.
55
张永侠,祁继霞,陈立伟,等. 食管异物合并严重并发症的临床治疗分析[J]. 中华解剖与临床杂志,2020,25(5):527-531.
No related articles found!
阅读次数
全文


摘要