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イシハマ タカノリ
Takanori Ishihama
石濱 嵩統 所属 川崎医科大学 医学部 臨床医学 歯科総合口腔医療学 職種 臨床助教８年 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Endoscopic removal of accidental aspirated and ingested dental foreign bodies: A cross-sectional study. |
| 掲載誌名 | 正式名：Medicine 略 称：Medicine (Baltimore) ISSNコード：15365964/00257974 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 100(46),pp.e27602 |
| 著者・共著者 | Hiroki Hayashi, Atsushi Abe, Mitsuhiko Ota, Moeko Momokita, Takanori Ishihama, Hiroshi Furuta, Toru Taniguchi, Kazuo Takeuchi |
| 発行年月 | 2021/11 |
| 概要 | The incidence of accidental ingestion and aspiration of foreign body (FB) is likely to occur. Many FBs are discharged spontaneously, but many dental FBs are often sharp and may remain in the pharynx, esophagus, and stomach, causing serious complications such as hemorrhage, asphyxia, perforation of the digestive tract, mediastinal emphysema, peritonitis, and ileus. We aimed to examine which type of dental foreign bodies can be removed by endoscope.In this study, we enrolled 32 patients who were evaluated at the Emergency and Critical Center between January 2014 and December 2019 and who accidentally ingested or aspirated dental FBs. Medical records were reviewed to determine the patients' sex, age, medical history, time from accidental ingestion of a FB to consultation, cause, location, occurrence status, nature of the FB, location of retained FB, treatment, complications, and outcome.We enrolled 32 patients (14 men, 18 women), with a mean age of 74.5 ± 12.8 years. Accidental ingestion at treatment was common. The most frequent site where the FB was retained was upper gastrointestinal tract (26 cases, 81.3%). In this study, endoscopic removal was indicated for dentures under the size of 43.3 mm, for dental FB (except dentures) more than 13.6 mm. In dentures, between the number of missing teeth, clasp, type, and endoscopic removal was not statistically significant.Dentures under the size of 43.3 mm was likely to be removed by endoscope. Dental FB (except dentures) more than the size of 13.6 mm was likely to be removed by endoscope. There were no indications for endoscopic removal except for size. |
| DOI | 10.1097/MD.0000000000027602 |
| PMID | 34797284 |