"It's out, it's out!" On February 11, 2019, a cheer was heard from the Endoscopy Center of Xingyi People's Hospital, and the medical staff of the Endoscopy Center and the Department of Anesthesiology successfully removed a 5-dime coin stuck in the esophagus for a 3-year-old child.
It is understood that the child accidentally swallowed a 5 dime coin when playing at home, because the coin was stuck in the throat when swallowing, the child has been coughing, which attracted the attention of the parents, and under the parents' questioning, the child said that he swallowed the coin. Subsequently, parents brought the child to the endoscopic center of Xingyi People's Hospital for treatment, after the chest dr examination, found that the coin is located in the esophagus, although the child breathes normally, the vital signs are stable, but the coin must be taken out within 24 hours, if not taken out in time, it is easy to cause esophageal perforation, rupture, secondary mediastinal infection, serious life-threatening.
To avoid surgery, the best thing to do is to take it out through a gastroscope. Because the child is still relatively young and does not know how to cooperate with the doctor, if you want to do gastroscopy, you must use anesthesia. During anesthesia, there are tracheal spasms, laryngeal edema, and gastric contents rushing into the trachea, resulting in suffocation accidents. This requires a very experienced anesthesiologist. Secondly, the esophageal wall of children is thinner, and the coin is relatively large, and when taking the coin, it may cause damage to the esophageal wall and cause esophageal perforation, which requires a doctor with excellent endoscopic skills. After discussion by medical staff, it was decided to give the child anesthesia under gastroscopy to remove the coin. After the anesthesiology department Dr. Gu Ping performed accurate anesthesia on the child, Dr. Huang Jingjie of the endoscopic center used the gastroscope to enter the stomach, and when the coin was found, he immediately clamped the coin firmly with foreign body forceps, carefully took out the coin through the pipeline for only three minutes, and then observed the child's esophagus wall through the gastroscope, found that there was no injury, no bleeding, after taking out the coin, the child did not feel any physical discomfort, and happily played with the mobile phone, looking at the smile on the child's face, all the medical staff were relieved.
It is reported that the endoscopy center will receive a number of cases of foreign body throat seizures every year, such as fish bones, jujube nuclei, etc. If you do not send to the hospital in time, you may even be in danger of life. Especially children, because they do not understand things, there is no sense of danger, so adults should be more careful when they look after children, do not give small toys that can be put in the mouth for children to play, such as coins, buttons, etc. When eating jelly, adults need to feed it in small pieces, eat fish meat to remove the fish bones, and some sharp and dangerous tools cannot be placed in places where children can get them. If a foreign body is stuck in the throat, it must be sent to the hospital in time.
At present, the endoscopic center of Xingyi People's Hospital has carried out a variety of endoscopic hemostasis treatment; the removal of gastrointestinal polyps and submucosal tumors; the removal of foreign bodies and gastrolars in the stomach; the expansion or stenting treatment of gastrointestinal stenosis; the placement of gastrointestinal vegetative tubes; the endoscopic intervention of biliary and pancreatic diseases in cooperation with hepatobiliary surgery and interventional departments, and endoscopic bile duct calculus quarriation, nasal bile duct drainage, Common bile duct stenting drainage, pancreatic duct stenting drainage, etc., treat a variety of biliary and pancreatic obstructive diseases, providing patients with better technical equipment and diagnostic and treatment methods. (Huo Wei)