Endoscopic management of carefully selected asymptomatic body stuffers.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Muhammad Akbar Baig, Joshua Nogar
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引用次数: 0

Abstract

The guidelines from the European and American Societies for Gastrointestinal Endoscopy discourage endoscopic retrieval of drug bags in body stuffers. However, recent evidence challenges this stance, demonstrating successful bag retrieval without fatal outcomes. We present two distinct cases illustrating varying outcomes of intervention. The first involves a 30-year-old asymptomatic man who ingested a plastic bag containing 3,4-methylenedioxymethamphetamine (MDMA). Despite initial identification and successful retrieval via upper gastrointestinal (UGI) endoscopy, the second case, a 50-year-old asymptomatic man who ingested a balloon filled with MDMA, alprazolam and lorazepam, required laparoscopic removal due to technical challenges during endoscopy. These cases prompt reconsideration of current guidelines, particularly in light of emerging literature advocating for early UGI endoscopy as a viable intervention. However, proficiency in UGI endoscopy, often necessitating additional experience beyond standard training, remains imperative for successful outcomes in such cases.

精心挑选的无症状填充物的内镜治疗。
欧洲和美国胃肠内窥镜学会的指导方针不鼓励在人体填充物中内窥镜取出药物袋。然而,最近的证据挑战这一立场,证明成功的袋子检索没有致命的结果。我们提出两个不同的案例来说明不同的干预结果。第一起病例涉及一名30岁无症状男子,他摄入了一个含有3,4-亚甲基二氧甲基苯丙胺(MDMA)的塑料袋。尽管通过上胃肠道(UGI)内窥镜初步识别并成功取出,但第二例患者是一名50岁无症状男性,他摄入了一个装满MDMA、阿普唑仑和劳拉西泮的球囊,由于内窥镜检查期间的技术挑战,需要腹腔镜切除。这些病例促使人们重新考虑当前的指导方针,特别是考虑到新兴文献提倡早期UGI内窥镜检查作为一种可行的干预措施。然而,精通UGI内窥镜检查,通常需要标准培训之外的额外经验,对于此类病例的成功结果仍然是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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