HNO

, Volume 60, Issue 9, pp 792–797 | Cite as

Fremdkörper im oberen Gastrointestinaltrakt

Leitthema
First Online:
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Zusammenfassung

Fremdkörper im oberen Gastrointestinal(GI)-Trakt stellen ein relevantes medizinisches Problem dar und sind für etwa 5% der Notfallendoskopien verantwortlich. Die endoskopische Entfernung ist die Methode der Wahl und gelingt in 99% der Fälle, wobei jedoch nicht alle Fremdkörper im oberen GI-Trakt endoskopisch entfernt werden müssen, da die Mehrzahl der Fremdkörper spontan abgeht. Bei Fremdkörpern im Ösophagus mit Obstruktion, die in mehr als 75% der Fälle vorliegt, ist oft schnelles Handeln erforderlich, da die Komplikationsrate mit der Verweildauer steigt. Bei der endoskopischen Entfernung ist v. a. der Erfindungsreichtum des Untersuchers gefragt.

Schlüsselwörter

Fremdkörper Fremdkörperentfernung Endoskopie Oberer Gastrointestinaltrakt Gastroskopie 

Foreign bodies in the upper gastrointestinal tract

Abstract

Foreign bodies in the upper GI tract are an important medical problem and cause about 5% of emergency endoscopies. Endoscopic removal is the method of the choice and is successful in 99% of cases. Nevertheless, endoscopic removal is not necessary in every case because most foreign bodies can pass through the digestive tract and be evacuated in the natural way. An immediate emergency endoscopy is indicated for foreign bodies in the esophagus with signs of obstruction, which is present in more than 75% of cases, because the risk of complications increases with retention time. The endoscopist has myriad possibilities for finding the best and safest way to extract the foreign body.

Keywords

Foreign bodies Foreign body extraction Endoscopy Upper gastrointestinal tract Gastroscopy 
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Notes

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Medizinische Klinik 1Universität Erlangen–NürnbergErlangenDeutschland
  2. 2.Internistische Gemeinschaftspraxis Dr. Kerzel/PD Dr. MaissForchheimDeutschland

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