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Foreign objects in Korean prisoners.

Tae Hee Lee¹, Young Woo Kang, Hyun Jin Kim

¹Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.

The Korean Journal of Internal Medicine

|March 4, 2008

Summary

This summary is machine-generated.

Foreign object ingestion in Korean prisoners, often metal wires, was successfully treated with endoscopy in most cases. This study highlights endoscopic removal as a primary treatment for these unusual ingestions.

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Area of Science:

Gastroenterology
Forensic Medicine
Surgical Endoscopy

Background:

Foreign object ingestion in the gastrointestinal tract is typically accidental, but is also observed in prisoners seeking to leave correctional facilities.
This study focuses on a series of 33 Korean prisoners who underwent endoscopic or surgical treatment for foreign object ingestion.

Purpose of the Study:

To analyze the characteristics of foreign object ingestion among Korean prisoners.
To evaluate the efficacy of endoscopic and surgical interventions for foreign object removal in this specific population.

Main Methods:

Retrospective review of medical records for 33 Korean prisoners (52 episodes) admitted between January 1998 and June 2004.
Inclusion criteria: foreign object ingestion; data collected included patient demographics, object characteristics, location, and treatment outcomes.

Main Results:

All patients were male, with a mean age of 35. Most ingestions (25/52) occurred within 24 hours of presentation.
Common locations were the esophagus and stomach (42.3% each). Metal wires were the most frequent objects (26/52).
Endoscopic treatment was successful in 88.5% (46/52 episodes); six cases required surgery.

Conclusions:

Prisoner foreign object ingestions involve diverse and unusual items, influenced by the prison environment.
Endoscopy is the primary and highly effective treatment modality for foreign object removal in Korean prisoners.
The findings underscore the importance of endoscopic intervention for managing these unique cases.