Author/Editor		Skok, Pavel; Ocepek, Andreja; Ćeranić, Davorin
Title		Pomen nujne endoskopije zgornjih prebavil pri odstranjevanju tujkov - rezultati obdobja 1994-2008
Translated title		The role of emergency endoscopy in upper git foreign body extraction
Type		članek
Vol. and No.		Letnik 1, št. 1
Publication year		2008
Volume		str. 37-43
ISSN		1855-5640 - Acta medico-biotechnica : AMB
Language		eng
Abstract		Namen: Tujki v zgornji prebavni cevi le redko povzročijo nujna stanja v gastroenterologiji. Namen raziskave je bil ugotoviti delež bolnikov, pri katerih smo ob nujni endoskopski preiskavi ugotovili tujke v zgornji prebavni cevi, oceniti uspešnost endoskopskuh posegov in morebitne zaplete. Metode: V raziskavo so uvrščeni bolniki, pri katerih smo v obdobju od 1. januarja 1994 do 1. maja 2008 opravili nujno endoskopsko preiskavo zgornjih prebavil. Rezultati: Pregledali smo 8552 bolnikov, povprečne starosti 60,6 let SD +/- 17,1 v razponu od 1-106 let, 3276 (38 %) žensk in 5276 moških (62 %). Pri 69 bolnikih, 0,8 % vseh preiskovancev smo ugotovili "prave" tujke požiralnika ali želodca. Skupaj smo opravili 90 endoskopskih posegov, pri 65 bolnikih, 94,2 %, smo tujke endoskopsko odstranili, pri štirih (5,8 %) pa endoskopski posegi niso bili uspešni. Med tujki smo odstranili najrazličnejše kovinske in plastične predmete: kovance, ključe, vijake, kljuke, baterije, britvice, igle,dele kuhinjskega, toaletnega in pisalnega pribora, vžigalnike, gumbe in igrače. Pri bolnikih, ki so imeli uspešno endoskopsko odstranitev, nismo opazovali pomembnejših zapletov, le pri 4 bolnikih (4/69, 5,8 %) smo opazovali klinično nepomembno krvavitev v predelu ezofagogastrične stičnice. Zaključek: Tehnološki razvoj endoskopskih instrumentov je omogočil različne interventne posege. Metoda se je potrdila kot učinkovita pri odstranjevanju tujkov v zgornji prebavni cevi.Purpose: Foreign bodies in the upper gastrointestinal tract (GIT) rarely cause urgent problems in gastroenterology. The purpose of the study was to assess the percentage of patients in whom urgent endoscopic investigation revealed true foreign bodies in the upper GIT and to evaluate the success of emergency endoscopic procedures. Methods: The study includes patients in whom urgent endoscopic investigations of the upper GIT were performed in the period 1 January 1994 to 1 May 2008. Results: 8552 patients were investigated,average age 60,6 years (SD +/- 17,1 years, range 1 - 106 years), with 3276 (38 %) females and 5276 males (62 %). In 69 patients (0,8 %), "true" foreign bodies were detected in the esophagus or stomach. In these patients a total of 90 endoscopic investigations were performed: in 65/69 patients (94,2 %) the foreign bodies were removed endoscopically; in 4 (5,8 %) cases the endoscopic procedures were unsuccessful. Among the foreign bodiesremoved were a variety metal or plastic objects, such as coins, keys, screws, hooks, batteries, razor blades, needles, lighters, buttons and parts of kitchen, toilet or writting utensils. In patients with successful endoscopic removal of the objects, no significant complications were noted. In 4 patients (4/69, 5,8 %) mild hemorrhages from the region of the esophagogastric junction were observed. Conclusion: Endoscopic technologies allow successful removal of a variety of types of foreign bodies from the upper GIT.
Descriptors		Upper Gastrointestinal Tract Zgornja prebavna cev Foreign Bodies Tujki Endoscopy Endoskopija complications therapy Zapleti Zdravljenje