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Related Concept Videos

Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

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Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Enhanced Elimination of Poison01:26

Enhanced Elimination of Poison

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Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
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Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

3.1K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Related Experiment Video

Updated: May 3, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

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Ingested foreign bodies: do we need a specific approach when treating inmates?

Yolanda Ribas1, David Ruiz-Luna, Marina Garrido

  • 1Department of Surgery, Consorci Sanitari de Terrassa, Terrassa, Spain.

The American Surgeon
|February 1, 2014
PubMed
Summary

Foreign body ingestion in prisoners requires careful management due to intentional self-harm. A conservative approach is recommended for asymptomatic patients, with endoscopic or surgical intervention for specific cases.

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Area of Science:

  • Gastroenterology
  • Forensic Medicine
  • Medical Decision-Making

Background:

  • Management of gastrointestinal foreign bodies lacks standardization.
  • Prisoner foreign body ingestions are intentional and pose unique challenges due to potential manipulation.
  • A clear management strategy is needed for this specific patient population.

Purpose of the Study:

  • To propose a standardized decisional algorithm for managing foreign body ingestion in prisoners.
  • To analyze outcomes and treatment modalities for foreign body ingestion in this population.

Main Methods:

  • Retrospective review of 198 admissions for foreign body ingestion over a 10-year period.
  • Analysis of foreign body type, radiographic findings, management (conservative, endoscopic, surgical), and outcomes.
  • Development of a management algorithm based on findings.

Main Results:

  • Most cases (87.6%) were managed conservatively.
  • Endoscopic removal was successful in 46% of 37 procedures.
  • Only 9.3% required endoscopic treatment, and 5 patients needed surgery (1 emergent).

Conclusions:

  • Conservative management is advocated for asymptomatic foreign body ingestion in prisoners.
  • Endoscopic removal is recommended for pointed objects or those >2.5 cm in the stomach.
  • Objects >6-8 cm in the stomach or those in the small bowel/colon require conservative management unless complicated.