소아에서 풍선 도뇨관을 이용한 식도 둔형 이물의 제거
Removal of Blunt Esophageal Foreign Body Using Foley Catheter in Children
이준영, 곽재령, 민영기, 이지숙,
소속 상세정보
이준영 ( Lee Jun-Young )
아주대학교 의과대학 응급의학교실
곽재령 ( Kwak Jae-Ryoung )
아주대학교 의과대학 응급의학교실
민영기 ( Min Young-Gi )
아주대학교 의과대학 응급의학교실
이지숙 ( Lee Ji-Sook )
아주대학교 의과대학 응급의학교실
KMID : 1037620150020010022
Abstract
Purpose: Foreign body ingestion is a common cause for children to visit the emergency department. Removal of esophageal foreign body was usually done by an endoscopy. After Bigler introduced the Foley catheter technique for esophageal foreign body in 1966, many studies were performed regarding such technique. However, only a few researchers in Korea have attempted to report this technique. This study reports a 10-year experience of the Foley catheter removal method for blunt esophageal foreign body at a single center in Korea.
Methods: Medical records of patients who were treated as esophageal foreign body with Foley catheters between March 2005 and February 2015 were retrospectively reviewed. Their clinical characteristics and outcomes were evaluated.
Results: A total of 73 patients were treated as esophageal foreign body impaction using the Foley catheter method. Foreign body removals were successful in 67 (91.8%) cases. Six failed cases were treated with esophagoscopy or endoscopy. The mean age was 3.7 years old. The most common foreign body was a coin (80.8%). Foreign bodies were lodged at the upper esophagus level most frequently (79.5%), followed by the middle esophagus (12.3%) and the lower esophagus (6.8%). During the removal procedure, 43.8% of patients were sedated, and 95.9% were treated with fluoroscopy. There were no positive correlations between the removal success and sedation (P=0.54) or using a fluoroscopy (P=0.23). In 69 cases (94.5%), there were no serious complications. However, in one patient, complications, such as vomiting, fever, and esophageal ulceration were observed. One patient complained fever and esophageal ulceration. In 3 (60%) of the total 5 patients with button battery ingestion, serious complications, such as fever or esophageal ulceration, occurred.
Conclusion: Removal of blunt esophageal foreign body using a Foley catheter in children is a useful and relatively safe method. However, patients with button battery ingestion need more attention when trying the Foley catheter removal technique.
키워드
Foreign Bodies; Esophagus; Urinary Catheters
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