Oesophageal foreign bodies.
Identifieur interne : 001253 ( Pmc/Curation ); précédent : 001252; suivant : 001254Oesophageal foreign bodies.
Auteurs : A. Baraka ; G. BikhaziSource :
- British Medical Journal [ 0007-1447 ] ; 1975.
Abstract
Impaction of foreign bodies in the oesophagus was analysed in 54 patients, 45 of whom were children. Of the 45 children 28 were aged 2-4 years. Coins were the most common foreign body in children (27 cases) while in adults a bolus of meat was most common (nine cases). In 41 children there was no predisposing factor, but an underlying mechanism was detected in 88% of the adults. The mechanisms were of three types: oesophageal (stricture), neuromuscular (myasthenia gravis), and extrinsic and mechanical (ankylosing spondylitis). In children most of the foreign bodies were impacted in the upper oesophagus at the cricopharyngeal junction, which is the narrowest part of the oesophagus, while in adults the foreign body was usually impacted at the site of the predisposing lesion or in the lower oesophagus. In all patients oesophagoscopy was performed under general anaesthesia to remove the impacted foreign body. Complications were more frequent in adults, mainly owing to the underlying condition.
Url:
PubMed: 1139150
PubMed Central: 1672660
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<author><name sortKey="Baraka, A" sort="Baraka, A" uniqKey="Baraka A" first="A" last="Baraka">A. Baraka</name>
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<front><div type="abstract" xml:lang="en"><p>Impaction of foreign bodies in the oesophagus was analysed in 54 patients, 45 of whom were children. Of the 45 children 28 were aged 2-4 years. Coins were the most common foreign body in children (27 cases) while in adults a bolus of meat was most common (nine cases). In 41 children there was no predisposing factor, but an underlying mechanism was detected in 88% of the adults. The mechanisms were of three types: oesophageal (stricture), neuromuscular (myasthenia gravis), and extrinsic and mechanical (ankylosing spondylitis). In children most of the foreign bodies were impacted in the upper oesophagus at the cricopharyngeal junction, which is the narrowest part of the oesophagus, while in adults the foreign body was usually impacted at the site of the predisposing lesion or in the lower oesophagus. In all patients oesophagoscopy was performed under general anaesthesia to remove the impacted foreign body. Complications were more frequent in adults, mainly owing to the underlying condition.</p>
<sec sec-type="scanned-figures"><title>Images</title>
<fig id="F1"><label>FIG. 1</label>
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<fig id="F3"><label>FIG. 5</label>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Br Med J</journal-id>
<journal-title>British Medical Journal</journal-title>
<issn pub-type="ppub">0007-1447</issn>
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<article-meta><article-id pub-id-type="pmid">1139150</article-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
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<title-group><article-title>Oesophageal foreign bodies.</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Baraka</surname>
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<contrib contrib-type="author"><name><surname>Bikhazi</surname>
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<pub-date pub-type="ppub"><day>8</day>
<month>3</month>
<year>1975</year>
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<volume>1</volume>
<issue>5957</issue>
<fpage>561</fpage>
<lpage>563</lpage>
<abstract><p>Impaction of foreign bodies in the oesophagus was analysed in 54 patients, 45 of whom were children. Of the 45 children 28 were aged 2-4 years. Coins were the most common foreign body in children (27 cases) while in adults a bolus of meat was most common (nine cases). In 41 children there was no predisposing factor, but an underlying mechanism was detected in 88% of the adults. The mechanisms were of three types: oesophageal (stricture), neuromuscular (myasthenia gravis), and extrinsic and mechanical (ankylosing spondylitis). In children most of the foreign bodies were impacted in the upper oesophagus at the cricopharyngeal junction, which is the narrowest part of the oesophagus, while in adults the foreign body was usually impacted at the site of the predisposing lesion or in the lower oesophagus. In all patients oesophagoscopy was performed under general anaesthesia to remove the impacted foreign body. Complications were more frequent in adults, mainly owing to the underlying condition.</p>
<sec sec-type="scanned-figures"><title>Images</title>
<fig id="F1"><label>FIG. 1</label>
<graphic xlink:href="brmedj01436-0039-a" xlink:role="561"></graphic>
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<fig id="F2"><label>FIGS. 2-4</label>
<graphic xlink:href="brmedj01436-0040-a" xlink:role="562"></graphic>
</fig>
<fig id="F3"><label>FIG. 5</label>
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<fig id="F4"><label>FIG. 6</label>
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