Aday Ulas, Tardu Ali, Yagci Mehmet Ali, Yonder Huseyin
Department of General Surgery, Inonu University Faculty of Medicine, Malatya, Turkey.
North Clin Istanb. 2015 Dec 25;2(3):239-242. doi: 10.14744/nci.2015.97268. eCollection 2015.
The majority of swallowed foreign bodies are thrown spontaneously without causing complications in the digestive system. Multiple number of foreign bodies may be swallowed by psychiatric patients which delay diagnosis and increase the complication rate. Long and hard objects cannot pass through the pylorus, and may cause obstruction, ulceration, bleeding and perforation. Endoscopy is used as an effective method in such cases. An exploratory laparatomy was performed after unsuccessful endoscopic foreign object removal in a 28-year-old schizophrenic patient with gastric outlet obstruction due to multiple cigarette lighter swallowing. Ten lighters were removed from the stomach through gastrotomy and one more lighter was removed from the descending colon by milking through the anus. The aim of this paper is to discuss encountered difficulties in psychiatric patients who underwent surgery due to intake of foreign bodies.
大多数吞咽的异物会自行排出，不会在消化系统中引起并发症。精神疾病患者可能会吞食多个异物，这会延迟诊断并增加并发症发生率。长而硬的物体无法通过幽门，可能导致梗阻、溃疡、出血和穿孔。在这种情况下，内镜检查是一种有效的方法。一名28岁的精神分裂症患者因吞食多个打火机导致胃出口梗阻，在内镜下取出异物失败后进行了剖腹探查术。通过胃切开术从胃中取出了10个打火机，通过经肛门挤压又从降结肠中取出了1个打火机。本文的目的是讨论因吞食异物而接受手术的精神疾病患者所遇到的困难。
