Üst Gastrointestinal Sistemde Yabancı Cisimlerin Değerlendirilmesi: Tanı ve Tedavi

Abstract

Amaç: Araştırmada, yabancı cisim yutulması nedeniyle genel cerrahi kliniğinde acil endoskopi işlemi uygulanan ve endoskopi işleminin yetersiz kaldığı durumlarda cerrahi yöntem ile tedavi edilen vakaların değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı nitelikte yapılan araştırmanın verileri yabancı cisim yutan hastaların dosyalarından elde edilmiştir. 2017-2020 yılları arasında 21 yabancı cisim yutma vaka dosyaları taranmıştır. Araştırmanın verileri SPSS paket programında analiz edildi. Analizlerde frekanslar, yüzde ve ortalama, ortanca kullanıldı. Bulgular: Yabancı cisim yutanların yarıdan fazlası (%52.3) erkektir. Yabancı cisimlerin %57.1 organik olup, en fazla en fazla üst özofagusta yerleşmiştir (%47.6). En sık görülen semptom disfaji (%38.1), %57.1’i ayaktan tedavi edilerek yatışa gerek duyulmamıştır. Komplikasyon oranı %14.3’tür. Vakaların %90.5’i endoskopi ile tanı konularak tedavi edilmiştir. Sonuç: Yabancı cisimlerin gerek tanı ve gerekse tedavisinde en önemli yöntem endoskopik işlemdir. Endoskopinin yetersiz olduğu sınırlı sayıda vakada ise cerrahi gerekmektedir.

Keywords

• Yabancı Cisim
• Endoskopi
• Gastrointestinal
• Özefagus

Evaluation of Foreign Bodies in the upper Gastrointestinal System: Diagnosis and Treatment

Abstract

Objective: The aim of this study was to evaluate the cases treated surgically in cases where emergency endoscopy was performed in the general surgery clinic due to foreign body ingestion and the endoscopy procedure was insufficient. Methods: The data of the descriptive study were obtained from the files of patients who ingested foreign bodies. Between 2017-2020, 21 foreign body ingestion case files were scanned. The data of the research were analyzed in the SPSS package program. Frequencies, percentage and mean, median were used in the analyzes. Results: More than half (52.3%) of those who ingested foreign bodies were men. 57.1% of foreign bodies are organic and mostly localized in the upper esophagus (47.6%). The most common symptom is dysphagia (38.1%), 57.1% was treated on an outpatient basis and hospitalization was not required. Complication rate is 14.3%. 90.5% of the cases were diagnosed and treated by endoscopy.Conclusion:The most important method in both diagnosis and treatment of foreign bodies is endoscopic procedure. Surgery is required in a limited number of cases where endoscopy is insufficient.

Keywords

• Foreign Body
• Endoscopy
• Gastrointestinal
• Esophagus

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