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[Ingested medication blister packs].

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Summary

Accidental ingestion of medication blister packs (BP) can cause severe esophageal damage. Prompt endoscopic intervention is crucial for removal and preventing complications.

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Area of Science:

  • Gastroenterology
  • Medical Devices
  • Patient Safety

Background:

  • Single-dose medication blister packs (BP) are prevalent in pharmaceutical packaging.
  • The sharp edges of BPs pose a risk of esophageal injury if accidentally ingested.

Observation:

  • Two cases of accidental BP ingestion are presented.
  • An elderly male experienced dysphagia after self-administering medication, with an ingested BP found lodged in the esophagus.
  • Another patient presented with hematemesis and dysphagia due to an esophageal tear caused by an ingested BP.

Findings:

  • Ingested BPs can cause significant esophageal trauma, including tears and lodging.
  • Endoscopic removal of the BP was successful in both reported cases.
  • Patients are often unaware of having ingested a blister pack.

Implications:

  • Urgent endoscopic intervention is necessary to prevent further esophageal damage.
  • Supervision during medication intake may help prevent accidental blister pack ingestion.
  • Raising patient awareness about the risks associated with blister pack ingestion is important.