LIU Yue, NING Shoubin, ZHU Ming, LI Jing, YIN Xin, ZHANG Jing. Gastroscopy assisted with trocar sheath in removal of date pit at the frst stenosis of esophagus[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(2): 128-131. DOI: 10.3969/j.issn.2095-5227.2017.02.010
Citation: LIU Yue, NING Shoubin, ZHU Ming, LI Jing, YIN Xin, ZHANG Jing. Gastroscopy assisted with trocar sheath in removal of date pit at the frst stenosis of esophagus[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(2): 128-131. DOI: 10.3969/j.issn.2095-5227.2017.02.010

Gastroscopy assisted with trocar sheath in removal of date pit at the frst stenosis of esophagus

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  • Received Date: November 17, 2016
  • Available Online: November 25, 2023
  • Objective To assess the value of trocar sheath in endoscopic removal of date pit at the frst narrowing of esophageal. Methods Medical records of 41 patients admitted to our center for endoscopic removal of date pit at the frst narrowing of esophageal from October 2008 to August 2016 were retrospectively collected and analyzed. Three options could be chosen to deal with date pit:gastroscopy assisted by trocar sheath, gastroscopy alone, and laryngeal endoscope. Average operating time of removing procedure, success rate, incidence of complications in 3 groups were compared. Results Nineteen cases were treated by gastroscopy assisted by trocar sheath with average age of (65.10 ±13.06) years (Among them, 5 cases underwent laryngeal endoscope procedures at frst and failed to remove the pit),and the success rate was 100%. Thirteen cases were treated with gastroscopy alone with average age of (60.62±11.02) years,and the success rate was 76.9% (10/13). Three cases converted to laryngeal endoscope after failed gastrocopic removal and all of them complicated with perforation. Seventeen cases were treated with laryngeal endoscope with average age of (65.18±9.89)years, including 3 cases with unsuccessful gastroscopic removal. The success rate for laryngeal endoscopy group was 76.9% (12/17). Five cases accepted gastroscopy procedure assisted with trocar sheath after failed laryngendoscope removal. Mean time of retrieve procedure was 4.35±0.66 min in trocar sheath assisted gastroscopy group, which was signifcantly less than 8.47±0.92 min in gastroscopy group and 5.85±0.47 min in laryngeal endoscopy group (P< 0.05, respectively). Accuracy rates was 100% in trocar sheath assisted gastroscopy group, which was signifcantly higher 58.8% in gastroscopy group and 58.8% in laryngeal endoscope group (P< 0.05, respectively). Acceptance rates was 89.5% in trocar sheath assisted gastroscopy group, which was signifcantly higher 76.9% in gastroscopy group and 52.9% for laryngeal endoscope group (P< 0.05, respectively). Conclusion Compared to traditionl procedures, trocar sheath assisted gastroscopy could reduce the incidence of complication,increase visual accuracy and shorten the operating time in date pit removal.
  • [1]
    Sugawa C, Ono H, Taleb M, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review[J]. World J Gastrointest Endosc, 2014, 6(10): 475-481. 2 Sung SH, Jeon SW, Son HS, et al. Factors predictive of risk for complications in patients with oesophageal foreign bodies[J]. Dig Liver Dis, 2011, 43(8): 632-635.
    [3]
    Wright CC, Closson FT. Updates in pediatric gastrointestinal foreign bodies[J]. Pediatr Clin North Am, 2013, 60(5): 1221. 4 Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions[J]. Gastrointest Endosc, 2011,73(6): 1085-1091.
    [5]
    Dray X, Cattan P. Foreign bodies and caustic lesions[J]. Best Pract Res Clin Gastroenterol, 2013, 27(5): 679-689. 6 文政伟, 雷平光, 晏洁影, 等. 透明帽辅助胃镜异物取出术在食管入口异物取出的应用[J]. 中国临床研究, 2015, 28(6):764-766.
    [7]
    Ambe P, Weber SA, Schauer M, et al. Swallowed foreign bodies in adults[J]. Dtsch Arztebl Int, 2012, 109(50): 8U9-869. 8 Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions[J]. Gastrointest Endosc, 2011,73(6): 1085-1091.
    [9]
    Ko HH, Enns R. Review of food bolus management[J]. Can J Gastroenterol, 2008, 22(10): 805-808. 10 Pfau PR. Removal and management of esophageal foreign bodies[J]. Techniques in Gastrointestinal Endoscopy, 2014, 16(1): 32-39.
    [11]
    Telford JJ. Management of ingested foreign bodies[J]. Can J Gastroenterol, 2005, 19(10): 599-601. 12 林金欢, 徐晖, 李兆申. 上消化道异物内镜处理进展[J]. 中华消化内镜杂志, 2015, 32(12): 864-866.
    [13]
    朱泱蓓,柏愚,邹多武,等.中国上消化道异物内镜取出失败的系统评价[J].中华消化内镜杂志,2012,29(6):332-335. 14 中华医学会消化内镜学分会. 中国上消化道异物内镜处理专家共识意见(2015年,上海)[J]. 中华消化内镜杂志, 2016, 33(1): 19-28.
    [15]
    Lai AT, Chow TL, Lee DT, et al. Risk factors predicting the development of complications after foreign body ingestion[J]. Br J Surg, 2003, 90(12): 1531-1535. 16 Park YK, Kim KO, Yang JH, et al. Factors associated with development of complications after endoscopic foreign body removal[J]. Saudi J Gastroenterol, 2013, 19(5): 230-234.
    [17]
    Hong KH, Kim YJ, Kim JH, et al. Risk factors for complications associated with upper gastrointestinal foreign bodies[J]. World J Gastroenterol, 2015, 21(26): 8125-8131.
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