Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines.

Kaan Demiroren
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引用次数: 3

Abstract

Foreign body (FB) ingestion is a common health problem that affects children more than adults. According to gastroenterologists' guidelines, the management of FB ingestion differs slightly between adult and children. This review aimed to compile adult and children guidelines and establish an understandable association to reveal the requirements and timing of the endoscopic procedure, which is the most effective and least complicated technique for gastrointestinal FBs. Coins, pins, and chicken and fish bones have been the most commonly ingested FBs. However, with their increasing use in recent years, large batteries with lithium-ion conversion, stronger magnets composed of rare earth metals, such as neodymium, and superabsorbent objects have become the most morbid and mortal, necessitating new management strategies. Although the approach to gastrointestinal FBs is controversial, with different treatment options available in different disciplines, many studies have demonstrated the efficacy and safety of endoscopic procedures. Many factors influence the timing of endoscopy, including the nature, size, and location of the ingested object and the patient's clinical condition.

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胃肠道异物的处理与指南的简要回顾。
异物(FB)摄入是一种常见的健康问题,对儿童的影响大于成人。根据胃肠病学家的指南,成人和儿童对FB摄入的处理略有不同。本综述旨在编制成人和儿童指南,并建立一个可理解的联系,以揭示内镜手术的要求和时机,这是胃肠道FBs最有效和最简单的技术。硬币、别针、鸡骨和鱼骨是最常被摄入的FBs。然而,随着近年来锂离子转换的大型电池、由稀土金属(如钕)组成的更强磁铁和高吸收率物体的使用越来越多,它们已经成为最病态和致命的,需要新的管理策略。虽然胃肠道FBs的治疗方法存在争议,不同学科有不同的治疗方案,但许多研究已经证明了内镜手术的有效性和安全性。许多因素影响内窥镜检查的时机,包括摄取物体的性质、大小和位置以及患者的临床状况。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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