わが教室過去27年間における食道異物症の統計的観察

抄録

A statistical review of 402 foreign body cases that were seen in the food passage during the 27 year priod from 1932 to 1858 is reported. The foreign bodies in the food passage accurred in 0.64% of the total patients, and the sex ratio was 64.7% and 35.3% with males preponderating. The age range was from 6 months to 88 years. Majority of ftoreign bodies were found under 10 years of age, while the greateast concentration of cases was in children under 5 years old. Under aged 10 years coins occurred most of ten and fishbones were most frequently found in patients over 11 years old.
A decreasing tendency of foreign body cases in the food passage was noted since 1942 to 1950, However, they showed an increase since 1951 due most likely to the increased utilization of coins in recent years.
The anatomic location of lodgement of foreign bodies was as follows: pharynx 24.9%, cervical esophagus 53.2%, midesophagus 10.7%, stomach and intestines 9.5%. Mojority of the foreign bodies in the pharynx were fishbones and in the cervical esophagus coins comprised the largest group of foreign bodies, and from the midesophagus fishbones and artificial tooth were most frequently sound.
In this series of cases there were 6 deaths. The mortality rate was 2.05 in the esohpageal foreign bodies, but after the advent of antibiotics there has been no death.