인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Objective To investigate the clinical characteristics of upper gastrointestinal foreign bodies in children and compare the clinical efficacy and safety of painless gastroscopy versus conventional gastroscopy for foreign body extraction. Methods A retrospective analysis was conducted on 278 pediatric cases (from January 2014 to June 2024) with upper gastrointestinal foreign bodies, focusing on age distribution, common types and locations of foreign bodies. Patients were divided into a painless gastroscopy group ( n = 223) and a conventional gastroscopy group ( n = 53) based on whether anesthesia was administered. In the painless gastroscopy group, intravenous access was established followed by administration of combined anesthesia (sufentanil and propofol), with the procedure initiated upon confirmation of eyelash reflex loss and muscle relaxation, while the conventional group underwent standard endoscopic foreign body extraction without sedation. The two groups were subsequently compared regarding foreign body characteristics, procedural success rates, and postoperative complication incidence. Results The age of affected children ranged from 1 month to 14 years, with a mean age of 3.285 ± 2.47 years, predominantly under 6 years old. The most common foreign body was coins, and the most frequent locations were the stomach and duodenum. The success rate of foreign body extraction was higher in the painless gastroscopy group than in the conventional group (χ 2 = 4.537, P = 0.033). Additionally, the incidence of complications in the painless group was significantly lower than in the conventional group, with a statistically significant difference (χ 2 = 10.443, P < 0.001). Conclusion Upper gastrointestinal foreign bodies in children occur most frequently in infants and young children, with coins and fragments of snacks or toys being the most common objects, primarily lodged in the stomach and duodenum. Painless gastroscopy for foreign body extraction improves treatment compliance, reduces adverse reactions, and demonstrates superior safety and efficacy compared to conventional gastroscopy, making it worthy of clinical application.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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