Commentary on confounding definitions and descriptions of body packing

Cappelletti, Simone; Piacentino, Daria; Ciallella, Costantino

doi:10.1007/s00261-015-0541-6

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…Thus, endoscopy could be considered "the next-step" after unsuccessful transanal extraction of low-lying object and for all the high-lying AFB that are out of reach for manual transanal extraction. A specific subset of patients who conceal drugs as retained AFB, the "body packers" [265], require modified application of these indications and should be managed with great caution, because in the event of perforation or damage to the drug package the patient can experience the life-threatening complications of drug overdose. For this reason, endoscopic retrieval is contraindicated by different authors and specialist societies [266][267][268].…”

Section: C -In Patients With Retained Anorectal Foreign Body What Is the Most Appropriate Interventional Approach (Manual Extraction Vs Ementioning

confidence: 99%

Anorectal emergencies: WSES-AAST guidelines

et al. 2021

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Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to provide a useful tool for every physician dealing with anorectal emergencies.The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the boards of the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for each statement, a consensus among the WSES-AAST panel of experts was reached. We structured our work into seven main topics to cover the entire management of patients with anorectal emergencies and to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.

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Section: C -In Patients With Retained Anorectal Foreign Body What Is the Most Appropriate Interventional Approach (Manual Extraction Vs Ementioning

confidence: 99%

Anorectal emergencies: WSES-AAST guidelines

et al. 2021

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“…It is important to distinguish this term from the following: "Body stuffing," which refers to a street dealer or drug user who, when caught, ingests the evidence because they are unable to discard it. And "Body pushing," which involves a professional drug smuggler hired to transport drugs introduced directly into the rectum, vaginal cavity, or external auditory canal [2,4,5]. Among these, "Body pushers" present a lower risk of medical complications since the packages are located near the orifices where they were inserted.…”

Section: Introductionmentioning

confidence: 99%

Gastric pouch obstruction in a bariatric patient caused by the ingestion of cocaine packets: a case report

Vitoretti,

Mota,

Silva

et al. 2023

BJCR

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The term "Body Packing" refers to individuals who carry intra-abdominal foreign objects containing illicit drugs that have been ingested to conceal them for smuggling purposes. With the increasing rates of international smuggling, drug transportation across borders has been constantly evolving among traffickers. Once introduced into the body, it becomes a matter of significant medical concern, as it can cause bowel obstruction, perforation, peritonitis, or intoxication. We present a case of a female, 44 years old, with a history of Fobi-Capella bariatric surgery, who was admitted to an Emergency Department for intractable vomiting, excessive drooling, and confirmed ingestion of 25 cocaine packages. The abdominal CT revealed multiple foreign bodies in the gastroenteroanastomosis topography, gastric pouch, and small bowel. Exploratory laparotomy with gastrostomy, enterotomy, and colotomy was performed. A second approach with intraoperative endoscopy was conducted to remove the remaining packages that were revealed by CT. This case report provides information about body packers' clinical condition, diagnosis, and treatment, to assist surgeons and clinicians with similar cases.

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“…Clinicians have made distinctions between three entities: body packing, pushing, and stuffing [2]. Body packing refers to the purposeful ingestion of illicit drugs, packaged to prevent drug seepage.…”

Section: Introductionmentioning

confidence: 99%