Laryngoscope investigative otolaryngology · 2021
Emergency management of jujube pit esophageal impactions using rigid esophagoscopy in the aged.
СтатьяНазвание и аннотация: Перевод в очереди
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Wei Xingmei, Wang Jie, Xu Wen
Аннотация
OBJECTIVE: To study the emergency management of esophageal jujube pit ingestion.
STUDY DESIGN: Retrospective case series.
METHODS: A retrospective study of 114 consecutive cases of jujube pits esophageal impaction during 3 months was performed.
RESULTS: One hundred and fourteen cases were confirmed as jujube pit esophageal impaction using contrast-enhanced radiography. All jujube pits were retrieved using rigid esophagoscopy under general anesthesia as outpatients, except one case where a direct laryngoscope was used. In four cases, esophageal perforation was found, the patients were treated with conservative measures, and none died.
CONCLUSION: Jujube pit esophageal impaction is characterized by a high incidence of perforation. The conservative management of cervical perforation is effective in this study. Rigid esophagoscopy under general anesthesia is safe for jujube pit esophageal impaction.
LEVEL OF EVIDENCE: 4.
STUDY DESIGN: Retrospective case series.
METHODS: A retrospective study of 114 consecutive cases of jujube pits esophageal impaction during 3 months was performed.
RESULTS: One hundred and fourteen cases were confirmed as jujube pit esophageal impaction using contrast-enhanced radiography. All jujube pits were retrieved using rigid esophagoscopy under general anesthesia as outpatients, except one case where a direct laryngoscope was used. In four cases, esophageal perforation was found, the patients were treated with conservative measures, and none died.
CONCLUSION: Jujube pit esophageal impaction is characterized by a high incidence of perforation. The conservative management of cervical perforation is effective in this study. Rigid esophagoscopy under general anesthesia is safe for jujube pit esophageal impaction.
LEVEL OF EVIDENCE: 4.