šekib UMİHANİĆ, Fuad BRKİĆ, šefika UMİHANİĆ, Samir HODŽİĆ

Özofagusta yabancı cisim takılması: 2003-2013 Tuzla, Kulak-Burun-Boğaz Kliniğinde deneyimler

Amaç: Bu çalışmada Tuzla, Bosna Hersek’teki University Clinical Center Kulak-Burun-Boğaz Kliniğinde özofagusa takılan yabancı cisim YC yönetimine ilişkin deneyimimiz sunuldu.Hastalar ve Yöntemler: Özofagusta YC öyküsüyle Ocak 2003 - Aralık 2013 tarihleri arasında kliniğimize başvuran 71 hasta 44 erkek, 27 kadın; ort. yaş 32.99±28.57 yıl; dağılım 1-81 yıl baş ve boyun muayenesi dahil olmak üzere retrospektif olarak incelendi. Tüm hastalara genel anestezi altında rijit özofagoskopi uygulandı.Bulgular: Çocuklarda 23 erkek, 9 kadın; ort. yaş 4.6 yıl; dağılım 1-11, mod 1 en yaygını %56.31 madeni para olmak üzere toplam 32 YC tespit edildi. Yetişkinlerde en yaygını kemik ve gıda olmak üzere toplam 39 YC %43.6 tespit edildi. Yabancı cisimler çocukların %87.5’i ve yetişkinlerin %66.7’sinde üst özofagus sfinkterinde takılmış idi. Yabancı cisimlerin özofagusta bulunma süresi bir saat ila altı ay idi. Tüm işlemler komplikasyon olmadan uygulandı; YC’ler işlemi tekrarlamaya gerek olmadan tamamen çıkartıldı.Sonuç: Çalışma bulgularımız rijit endoskop kullanımının özofagustaki YC’leri çıkarmada güvenilir olduğunu ortaya koymaktadır

Anahtar Kelimeler:

Yetişkin, çocuk, özofagoskopi, yabancı cisim takılması

Foreign body impaction in esophagus: experiences at Ear-Nose-Throat Clinic in Tuzla, 2003-2013

Objectives: This study aims to report our experience in the management of foreign body FB impaction in esophagus in the Ear-NoseThroat Clinic, University Clinical Center of Tuzla, Bosnia and Herzegovina. Patients and Methods: Seventy-one patients 44 males, 27 females; mean age 32.99±28.57 years; range 1 to 81 years who admitted to our clinic between January 2003 and December 2013 with a history of a FB in esophagus were retrospectively analyzed including head and neck examination. All patients were performed rigid esophagoscopy under general anesthesia. Results: A total of 32 FBs were detected in children 23 males, 9 females; mean age 4.6 years; range 1 to 11, mod 1 with coins being the most common 56.31% . A total of 39 FBs were detected in adults 21 males, 18 females; mean age 56.2 years; range 16 to 81 with bones and food being the most common 43.6% . Foreign bodies impacted in the upper esophageal sphincter in 87.5% of children and in 66.7% of adults. The duration of localization of FBs in esophagus was between one hour and six months. All procedures were performed without complications; the FBs were completely extracted without the requirement to repeat the procedure. Conclusion: Our study results suggest that use of rigid endoscope is reliable in removing FBs in the esophagus.

Keywords:

Adult, child, esophagoscopy, foreign body impaction,

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