fa بررسی اجسام خارجی مری بین رشته ای ( مدیریت آموزشی، تحقیقات آموزشی، آموزش پزشکی ) Interdisciplinary (Educational Management, Educational research, Statistics, Medical education عمومی General جسم خارجی مری در بین کودکان و بزرگسالان با بیماری های مری ، افراد عقب افتاده ذهنی و یا دارای اختلالات روانی شایع است . این بررسی بصورت گذشته نگر با جمع آوری داده های موجود در پرونده کلیه بیمارانی که در فاصله سالهای 75-1372 با تشخیص بلع جسم خارجی در بخش های گوش و حلق و بینی بیمارستان های لقمان حکیم و آیت ا... طالقانی بستری شده بودند ، صورت گرفت . در این مطالعه پرونده 200 بیمار ، 77 کودک و 123 بزرگسال شامل 89 زن ( 5/44% ) و 111 مرد ( 5/55% ) بررسی شد .سن شایع بلغ جسم خارجی 6-2 سال بود . <p><strong>Background: </strong>Foreign body ingestion is a common occurrence in children and high risk groups of adults such as those with underlying esophageal disease, the mentally retarded, and those with psychiatric illnesses. </p><p><strong>Materials and methods: </strong>For this existing data type study all patients who had referred during a 4-year period (1993-96) to Loghman Hakim and Taleghani hospitals with the diagnosis of esophageal foreign bodies were included. </p><p><strong>Results: </strong>The study population included 77 children and 123 adults (89 females and 111 males). Most of the affected subjects aged 2-6 years. The most frequently ingested objects were coins (45.5%), bones (meat, chicken, fish) (33%), vegetable objects (8.5%), dentures (5%) and other metal and non metal objects (8.5%). The most prominent complaints were dysphasia with pain (54.5%), dysphasia without pain (21%), pain without dysphasia (8%), no dysphasia or pain (16.5%). Radiographic studies revealed soft tissue in neck region and foreign bodies in 84% of the cases. Rigid esophagoscopy was performed to remove the foreign bodies, however, in 12% of cases complications including bleeding of hypopharynx and esophagus (3%), tearing of mucous membrane (8.5%), perforation of esophageal wall and mediastinitis (0.5%) did occur. <strong>Conclusion: </strong>Early detection of esophageal foreign bodies is of utmost importance since their complications are serious and can be life-threatening. </p><br clear="all" > ،جسم خارجی ،مری Foreign body, Esophagus 49 52 http://pejouhesh.sbmu.ac.ir/browse.php?a_code=A-10-1-166&slc_lang=fa&sid=1 Karimaneh A, Najafi M علی کریمانه 10031947532846002653 10031947532846002653 Yes محترم نجفی 10031947532846002654 10031947532846002654 No