最近經驗した氣管支と食道の異物—特に食道魚釣針異物の1新除去法

　気管支並びに食道に繋留する頻度の多い異物に就ては臨床技術上その摘出法，摘出器械等適宜の考案がなされているが，吾人が稀有な異物症例に遭遇した場合にはそれぞれ各自の手法に準じてそれに対処せざるを得ない事態が生ずることがある．その際各自の手法の適否と其の適切なる撰択如何が患者の犠牲乃至は負擔を軽減する鍵となるものである事は論を俟たない．

　最近当教室に於て経験した2例の気管支，並に食道異物は頻度として稀な疾患であり，2例共無事摘出し得たが，その中特に食道異物としての魚釣針例は従来の方法では至難であるか或いはより患者の負擔を多からしめる筈であつたものを即席に考案した簡單な摘出器を以て容易に除去し得たので，この些かな経験を此に記載し，以つて今後の症例に対して何らかの寄與となれば幸甚に思ふ次第である．

IIDA reviews the Iiterature of this country to find 23 cases of fish-hook lodged in the esophagus as foreign bodies, To this list he adds a case of his own.

The fish-hook which was lodged in the esophagus and evidently shown by roentgenogram could not be seen when the esophagoscope was introduced for the removal. For this reason repeat attempts were made but each ended in failure. Thereupon, a thin bamboo rod 35 cm. in length with an eye bored in one of its extremily was devised. After introducing the esophagoscope, the fish line which was fortuna-tely attached to the hook was secured and the free end of this line was dilvered without the esophag-oscope and he mouth; the line was extended to a desired length by tieing a silk thread which was then, passed through the eye of the bamboo rod.

By following in this way with the thread and line as a guide, the eye on the bamboo rod easily enga-ged the shaft of the imbedded fish-hook which, with little exertion, readily disengaged from the wall of the esophagus. After this the removal Was uneven-tful,