Çocuklarda özofagus yabancı cisimlerinde röntgenografik değerlendirme

Abstract

1981-1993 yılları arasında Erciyes Üniversitesi Tıp Fakültesi hastanesinde özofagus yabancı cismi nedeni ile takip ve tedavi edilen 180 hasta retrospektif olarak incelendi. Olgulara, röntgenogramlarm tanı değerini belirlemek için boyun ve göğüs düz röntgenogramları, nonopak yabancı cisim varlığında ise baryumlu özofagogramlar alındı. Tüm olgulara endoskopi uygulandı ve sonuçlar endoskopi bulgularıyla karşılaştırıldı. 156 olguda (% 86.7) düz röntgenogramla, 11 olguda (% 6.1) özofagogramla yabancı cisim gösterildi. En sık görülen yabancı cisim madeni para, en sık yerleşim yeri ise servikal darlık bölgesiydi.

The findings of retrospective analysis of the char's of 180 children admitted with the diagnoses of esophageal foreign bodies that were managed at the Hospital of Eta yes University for 13 years to the end of 1993 are reported. We performed the radiographic evaluation iv every patient to determine the utility of routine roentgenograms. All were referred for immediate roentgenograms. It includes plain radiographs of the neck and chest in postero anterior projection. In the presence of a nonopaque material, an esophagogram was performed to demonstrate the foreign body. The results were compared with the endoscopic findings. A foreign body was visualized in the esophagus of 156 patients (% 86.7) on plain roentgenography, 11 patients (% 6.1) on esophagogram. The proximal 1/3 of esophagus was the commonest site for impaction. Coins were the commonest foreign body. It has been recommended that all children with a history of foreign body ingestion immediately undergo roentgenography to locate the foreign body, regardless of symptoms. Failure to detect an esophageal foreign body despite continued symptoms mandates endoscopy because small foreign bodies may escape in radiographic detection.