Application of Endoscopy in Esophageal Foreign Body: 28 Cases

內視鏡於食道異物的應用：28病例

10.7009/TVJ.200306.0104

黃慧璧(Hui-Pi Huang)

狗 ； 內視鏡處理方式 ； 食道異物 ； Dog ； Endoscopic management ； Esophageal foreign body

臺灣獸醫學雜誌

29卷2期（2003 / 06 / 01）

104 - 108

英文

物體卡在食道定義為食道異物，不良的飲食習慣是常見的肇因。本次研究的目是報導利用內視鏡處理28例罹患食道異物的犬隻，所有食道異物使用食道（鋇劑造影）放射線檢驗確診；依解剖位置，將位於食道內異物的卡住分為胸腔入口（28.6%）、心底部（21.4%）、與橫膈膜前（50.0%）處。異物包括雞骨（50.0%）、豬骨（17.9%）、雞肉乾（14.2%）、魚鉤（7.1%）、鴨骨（3.6%）、人頭髮團（3.6%）、與縫衣針（3.6%）。其中19例，其食道中可消化的小骨片利用內視鏡推入胃中，其餘9例的食道異物與魚鉤則順利地由內視鏡的生檢夾取出。本次的研究中，96.4%的病例利用內視鏡成功移除食道異物且恢復良好，因此內視鏡可為食道異物的病例提供一個安全又有效的處理方式。

Esophageal foreign body is defined as an object lodged in esophagus. Bad eating habit is the common cause for this condition. The aim of this study was to report application of endoscopy in management of esophageal foreign body in 28 dogs. Esophageal foreign body was confirmed using plain or barium esophagram. Location of foreign body was categorized into thoracic inlet (28.6%), base of the heart (21.4 %), and immediately in front of diaphragm (50.0%). The esophageal foreign bodies revealed in this study included chicken bones (50.0%), pig bones (17.9%), chicken jerky (14.2%), fishhooks (7.1%), duck bone (3.6%), human hairball (3.6%), and needle (3.6%). Small and digestable bony pieces were pushed into the stomach in 19 cases; small pieces and fishhooks were successfully retrieved in 9 cases. In this study, endoscopic removal of foreign body from esophagus was successful in 96.4% of cases. Endoscopic removal provides a safe and efficient procedure in treating such condition.