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Ingested foreign material in mentally disturbed patients.

G D Roark, K Subramanyam, M Patterson

    Southern Medical Journal
    |September 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Endoscopic removal of upper gastrointestinal foreign bodies is common, but not always necessary. A conservative approach is recommended for smooth objects in psychotic or demented patients due to risks associated with endoscopy.

    Area of Science:

    • Gastroenterology
    • Medical Technology
    • Patient Management

    Background:

    • Endoscopic interventions have advanced, enabling high success rates for removing ingested foreign bodies from the upper gastrointestinal tract.
    • While generally safe, the indication for endoscopic removal of foreign bodies requires careful consideration.
    • Foreign bodies in the esophagus typically necessitate immediate intervention.

    Observation:

    • Objects retained in the stomach are often asymptomatic and can remain for extended periods without complications.
    • Psychotic or demented individuals represent a significant adult population at risk for foreign body ingestion.
    • Endoscopic procedures in these patients may present elevated risks.

    Findings:

    • Smooth objects are frequently well-tolerated when retained in the stomach for prolonged durations.

    Related Experiment Videos

  • A conservative management strategy is often suitable for smooth foreign bodies in the stomach, particularly in at-risk patient groups.

    • Implications:

    • This suggests a selective approach to endoscopic foreign body retrieval, prioritizing patient safety and minimizing unnecessary procedures.
    • Clinical decision-making should weigh the risks of endoscopy against the likelihood of complications from retained foreign bodies, especially in vulnerable populations.