| 식도 이물 손상의 임상적 고찰 |
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김우정 |
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제주대학교 의과대학 응급의학교실 |
| Clinical Analysis of Esophageal Foreign Body in Jeju |
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Woo-Jeon Kim |
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Department of Internal Medicine, Cheju National University College of Medicine, Jeju 690-756, Jeju, Korea |
Correspondence:
Woo-Jeon Kim, Email: gurum21@chuh.org
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| Abstract |
Purpose
The esophageal foreign body results from ingestion of various materials and some foreign bodies such as fish bone can make severe complications such as esophageal perforation and acute mediastinitis. The purposes of this study were to investigate the clinical characterisitcs of esophageal foreign body in Jeju and to analyze the complicated cases by esophageal foreign body.
Methods
A total 32 patients who were treated for foreign body in gastrointestinal tract at Cheju National University Hospital from May 2003 to October 2006 were reviewed retrospectively. The review about clinical informations included patient's age, sex, chief complains, presentation time from symptom, duration of admission, endoscopic treatment, and complications. The length and type of foreign body also were reviewed. Complicated group and non-complicated group were compared in aspect of probability of complications in esophageal foreign body.
Results
Male was 65.6% and pediatric under 15 years old was 40.6%. The mean age was 35.53±25.98 years old and the mean presentation time from symptom was 27.98±53.95 hours. Dysphagia and foreign body sense was major chief complain in adults and most pediatric had no symptom. Most foreign body were located in esophagus and the mean size of foreign body was 2.34±1.06 cm. The most common foreign body was fish bone and 35.7% among fish bone injuries had complication such as esophageal perforation and acute mediastinitis. Compared with non-complicated group, complicated group was older and had longer presentation time from symptom and more chest pain as chief complains significantly.
Conclusion
The most esophageal foreign body in Jeju was fish bone, that made more complications than the other areas. Older patient with esophageal fish bone who presented later and had chest pain could be supposed to have complications by fish bone. |
| Key Words:
esophagus, foreign body, complications, fish bone |
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