Approach to Foreign Body Ingestion, Food Impaction, and Caustic Injury

Gorospe, Emmanuel C.; Song, Louis M. Wong Kee; Iyer, Prasad G.

doi:10.1007/978-1-4939-3085-2_7

Cited by 2 publications

(1 citation statement)

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“…Una vez en el esófago, existe el riesgo de perforación y fístula (aortoesofágica o bronquial), y ya en el intestino, la incidencia de perforación ha sido tan alta como el 15-35%, siendo el lugar más frecuente en la válvula ileocecal. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Debe realizarse una endoscopía inmediata para su extracción. Si esto no fuera posible, deben realizarse controles radiológicos seriados.…”

Section: Agradecimientos a Todo El Equipo De Trabajo Del Servicio De Cirugía General Y Psiquiatría Del Hospital De Vic Por Su Desempeño Yunclassified

Trastorno psiquiátrico asociado a una conducta reiterada de ingesta de cuerpos extraños. Pautas de manejo

Figueroa¹,

Curbelo-Peña²,

García-León³

et al. 2020

Acta gastroenterol. latinoam.

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Introduction. Foreign body ingestion (FBI) usually occurs accidentally. The 70-80% of the cases occur in children with ages between 6 months and 3 years. Cases. The aim of this original article is present a case series of 4 patients with history of psychiatric disorders, all of whom are residents of the same institution, and who repeatedly perform FBI with self-injurious purposes. The treatment was different according to the episodes, from expectant management with radiological control in most of the cases, and upper digestive endoscopy until the finally surgical treatment. Discussion. Most of the objects use to be small inorganic objects such as piles, buttons, coins and pieces of toys. In adult patients, the objects are usually organics like bones, fish bones or food bowls. The most fragile are usually the elderly with dental prostheses ingestion. There is a special group, those patients who ingest voluntarily for different purposes. In one hand patients who have an intellectual disability, mental illness and / or substance abuse disorder, on the other hand, those who do it with economic purposes, also so-called «mules». The symptoms, complications and management depend on the object itself, evolution and anatomic localization. Conclusion. The clinical performance is difficult because there is no protocoled management established currently to prevent, treat and most important, avoiding new episodes.

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Section: Agradecimientos a Todo El Equipo De Trabajo Del Servicio De Cirugía General Y Psiquiatría Del Hospital De Vic Por Su Desempeño Yunclassified