Turkiye Klinikleri Journal of Internal Medicine

.: REVIEW
Özofagusta Yabancı Cisime Yaklaşım: Geleneksel Derleme
Approach to Foreign Body in Esophagus: Traditional Review
Ömer Burçak BİNİCİERa, Hatice Çilem BİNİCİERb
aİzmir Sağlık Bilimleri Üniversitesi Tepecik Eğitim ve Araştırma Hastanesi, Gastroenteroloji Kliniği, İzmir, Türkiye
bDokuz Eylül Üniversitesi Tıp Fakültesi, Gastroenteroloji BD, İzmir, Türkiye
Turkiye Klinikleri J Intern Med. 2022;7(1):7-19
doi: 10.5336/intermed.2021-86994
Article Language: TR
Full Text
ÖZET
 Özofagusta yabancı cisim veya gıda takılması, gastrointestinal sistemin sık karşılaşılan acillerindendir. Yabancı cisim yutulması veya özofagusta gıda takılması sıklıkla (%80) pediatrik yaş grubunda (6 ay6 yaş) görülmekle birlikte, erişkinlerde ise sıklıkla dişsiz olan bireylerde, psikiyatrik hastalığı olanlarda ve yoğun alkol kullanımı olan bireylerde görülmektedir. Çocukluk yaş grubunda madenî para ve düğme şeklindeki pillerin yutulması en sık karşılaşılan nedenler arasındadır. Erişkin özofagus yabancı cisim vakalarının, Batı ülkelerinde en sık nedeni et ürünleri iken, Doğu ülkelerinde ise balık kılçığıdır. Erişkin yaş grubunda, olguların büyük çoğunluğunda (%80-90) dışarıdan müdahaleye gerek kalmadan, yabancı cisim gastrointestinal sistemden kendiliğinden atılmaktadır. Ama özellikle kasıtlı yabancı cisim yutulması ya da nöropsikiyatrik hastalığı olan bireylerde endoskopik müdahale ve cerrahi girişim oranları yüksektir. Yabancı cisim veya gıdanın boyut ve şekli meydana gelebilecek komplikasyonlar açısından önem arz eder. Özellikle düzensiz yapıda ve büyük olan yabancı cisimler özofagus duvarında basınç, ödem, iskemi ve mukozal erozyon yaratarak hayatı tehdit edici özofageal perforasyon gibi komplikasyonlara neden olabilir. Özofagusta yabancı cisim ve gıda takılmaları en sık çizgili ve düz kasların fizyolojik geçiş noktaları ve aortik arka bağlı daralma alanlarında görülmektedir. Hastalar sıklıkla retrosternal ağrı, disfaji ve odinofaji şikâyetleri ile başvururlar. Bu vakaların yaklaşık %25'inde altta yatan özofageal hastalık olduğu bildirilmektedir. En sık karşılaşılan hastalıklar striktür (%33,9), hiatus hernisi (%20,2), özofageal web ya da Schatzki halkasıdır (%17,1). Bu derlemede, özofagusta yabancı cisim ve gıda takılmalarına yaklaşım özetlenmiştir.

Anahtar Kelimeler: Özofagus; yabancı cisim; endoskopi
ABSTRACT
 Foreign body or food impaction in the esophagus is one of the common emergencies of the gastrointestinal system. Foreign body ingestion or food impaction in the esophagus is frequently (80%) seen in the pediatric age group (6 months-6 years), but in adults, it is often seen in edentulous individuals, those with psychiatric diseases and individuals with heavy alcohol use. Ingestion of coin and button batteries is among the most common causes in childhood. While the most common cause of adult esophageal foreign body cases in western countries is meat products, in eastern countries it is fish bone. In the vast majority of cases (80-90%) in the adult age group, the foreign body is excreted spontaneously from the gastrointestinal tract without the need for external intervention. However, endoscopic intervention and surgical intervention rates are high, especially in individuals with intentional foreign body ingestion or neuropsychiatric disease. The size and shape of the foreign body or food is important in terms of complications that may occur. Especially irregular and large foreign bodies can cause pressure, edema, ischemia and mucosal erosion in the esophageal wall and cause life-threatening complications such as esophageal perforation. Foreign body and food attachments in the esophagus are most commonly seen in the physiological transition points of striated and smooth muscles and in the narrowing areas of the aortic posterior. Patients often present with complaints of retrosternal pain, dysphagia, and odynophagia. It is reported that there is an underlying esophageal disease in approximately 25% of cases with food or foreign body impaction in the esophagus. The most common diseases are stricture (33.9%), hiatus hernia (20.2%), esophageal web or Schatzki ring (17.1%). In this review, the approach to foreign body and food impaction in the esophagus is summarized.

Keywords: Esophagus; foreign body; endoscopy
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www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com