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Death from caustic ingestion:A case report
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作者 Shao Hui Koh Jacqueline C.L.Tan 《Journal of Acute Disease》 2024年第2期81-84,共4页
Rationale:Acute caustic ingestion from suicidal intent is not usual in emergency departments in developed countries.One of the substances commonly ingested by suicidal patients,phosphoric acid,tends to cause multi-sys... Rationale:Acute caustic ingestion from suicidal intent is not usual in emergency departments in developed countries.One of the substances commonly ingested by suicidal patients,phosphoric acid,tends to cause multi-system derangements.Patient’s Concern:A 41-year-old male patient presented with complaints of throat discomfort,severe generalized abdominal pain,and multiple episodes of hematemesis after ingesting a restroom cleaning solution.Diagnosis:Poisoning by acute caustic ingestion(containing<30%phosphoric acid and<4%ethylene glycol).Interventions:The patient was administered 50 mL of 8.4%sodium bicarbonate solution followed by an isotonic sodium bicarbonate solution running at 500 mL/h,a hyperkalemia kit,ceftriaxone,metronidazole,omeprazole,and atropine.The patient then underwent urgent hemodialysis.Outcomes:The patient suffered gastrointestinal bleeding as a result of local caustic injury.In addition,his course of illness was complicated by severe acidemia from high anion gap metabolic acidosis and deranged electrolytes(hyperphosphatemia,hyperkalemia,and hypocalcemia).He developed multi-organ failure and eventually demised.Lessons:The clinician needs to be mindful of the multi-system complications arising from such a caustic ingestion.These patients need to be monitored closely for deterioration,and have prompt management of the various arising complications,to reduce the high morbidity and mortality associated with this condition. 展开更多
关键词 Phosphoric acid poisoning Caustic ingestion Acid ingestion Cleaner ingestion Corrosive ingestion
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Pyogenic liver abscess secondary to gastric perforation of an ingested toothpick:A case report 被引量:1
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作者 Yeshong Park Ho-Seong Han +5 位作者 Yoo-Seok Yoon Jai Young Cho Boram Lee Mee Young Kang Jinju Kim Hae Won Lee 《World Journal of Clinical Cases》 SCIE 2023年第23期5622-5627,共6页
BACKGROUND Liver abscess due to foreign body-induced gastrointestinal tract perforation is a rare event that could be misdiagnosed due to low suspicion.Less than 100 cases have been reported to date.CASE SUMMARY We re... BACKGROUND Liver abscess due to foreign body-induced gastrointestinal tract perforation is a rare event that could be misdiagnosed due to low suspicion.Less than 100 cases have been reported to date.CASE SUMMARY We report a case of a 53-year old female patient with pyogenic liver abscess secondary to ingestion of a toothpick with penetration through the lesser curvature of the stomach.The patient presented with persistent epigastric pain.Abdominal computed tomography demonstrated the presence of a linear radiopaque object associated with abscess formation in the left liver lobe.Inflammatory changes in the lesser curvature of the stomach indicated gastric wall penetration by the object.As the abscess was refractory to antibiotic treatment,laparoscopic liver resection was performed to remove the foreign body and adjacent liver parenchyma.Following surgery,symptoms fully resolved without any sequelae.CONCLUSION This rare case demonstrates the importance of considering foreign body penetration as a cause of pyogenic liver abscess,particularly in abscesses of unknown origin that are resistant to antibiotic therapy.Clinical suspicion,early diagnosis,and prompt removal of the foreign body could lead to improved outcomes in these patients. 展开更多
关键词 Foreign body ingestion Liver abscess Pyogenic liver abscess Liver resection Case report
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Accidental ingestion of foreign bodies/harmful materials in children from Bahrain:A retrospective cohort study
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作者 Hasan M Isa Shaikha A Aldoseri +1 位作者 Aysha S Abduljabbar Khaled A Alsulaiti 《World Journal of Clinical Pediatrics》 2023年第4期205-219,共15页
BACKGROUND Children like to discover their environment by putting substances in their mouths.This behavior puts them at risk of accidentally ingesting foreign bodies(FBs)or harmful materials,which can cause serious mo... BACKGROUND Children like to discover their environment by putting substances in their mouths.This behavior puts them at risk of accidentally ingesting foreign bodies(FBs)or harmful materials,which can cause serious morbidities.AIM To study the clinical characteristics,diagnosis,complications,management,and outcomes of accidental ingestion of FBs,caustics,and medications in children.METHODS We conducted a retrospective cohort study of all children admitted for accidental ingestion to the Department of Pediatrics,Salmaniya Medical Complex,Bahrain,between 2011 and 2021.Demographic data,type of FB/harmful material ingested,and investigations used for diagnosis and management were recorded.The patients were divided into three groups based on the type of ingested material(FBs,caustics,and medications).The three groups were compared based on patient demographics,socioeconomic status(SES),symptoms,ingestion scenario,endoscopic and surgical complications,management,and outcomes.The FB anatomical location was categorized as the esophagus,stomach,and bowel and compared with respect to symptoms.The Fisher’s exact,Pearson’s χ^(2),Mann-Whitney U,and Kruskal-Wallis tests were used for comparison.RESULTS A total of 161 accidental ingestion episodes were documented in 153 children.Most children were boys(n=85,55.6%),with a median age of 2.8(interquartile range:1.8-4.4)years.Most participants ingested FBs(n=108,70.6%),31(20.3%)ingested caustics,and the remaining 14(9.2%)ingested medications.Patients with caustic ingestion were younger at the time of presentation(P<0.001)and were more symptomatic(n=26/31,89.7%)than those who ingested medications(n=8/14,57.1%)or FBs(n=52/108,48.6%)(P<0.001).The caustic group had more vomiting(P<0.001)and coughing(P=0.029)than the other groups.Most FB ingestions were asymptomatic(n=55/108,51.4%).In terms of FB location,most esophageal FBs were symptomatic(n=14/16,87.5%),whereas most gastric(n=34/56,60.7%)and intestinal FBs(n=19/32,59.4%)were asymptomatic(P=0.002).Battery ingestion was the most common(n=49,32%).Unsafe toys were the main source of batteries(n=22/43,51.2%).Most episodes occurred while playing(n=49/131,37.4%)or when they were unwitnessed(n=78,57.4%).FBs were ingested more while playing(P<0.001),caustic ingestion was mainly due to unsafe storage(P<0.001),and medication ingestion was mostly due to a missing object(P<0.001).Girls ingested more jewelry items than boys(P=0.006).The stomach was the common location of FB lodgment,both radiologically(n=54/123,43.9%)and endoscopically(n=31/91,34%).Of 107/108(99.1%)patients with FB ingestion,spontaneous passage was noted in 54(35.5%),endoscopic removal in 46(30.3%),laparotomy in 5(3.3%)after magnet ingestion,and direct laryngoscopy in 2(1.3%).Pharmacological therapy was required for 105(70.9%)patients;79/105(75.2%)in the FB group,22/29(75.9%)in the caustic group,and 4/14(28.8%)in the medication group(P=0.001).Omeprazole was the commonly used(n=58;37.9%)and was used more in the caustic group(n=19/28,67.9%)than in the other groups(P=0.001).Endoscopic and surgical complications were detected in 39/148(26.4%)patients.The caustic group had more complications than the other groups(P=0.036).Gastrointestinal perforation developed in the FB group only(n=5,3.4%)and was more with magnet ingestion(n=4)than with other FBs(P<0.001).In patients with FB ingestion,patients aged<1 year(P=0.042),those with middle or low SES(P=0.028),and those with more symptoms at presentation(P=0.027)had more complications.Patients with complications had longer hospital stays(P<0.001)than those without.CONCLUSION Accidental ingestion in children is a serious condition.Symptomatic infants from middle or low SES families have the highest morbidity.Prevention through parental education and government legislation is crucial. 展开更多
关键词 PEDIATRIC Accidental ingestion Foreign body CAUSTIC COMPLICATION Bahrain
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Intentional ingestions of foreign objects among prisoners: A review 被引量:10
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作者 David C Evans Thomas R Wojda +2 位作者 Christian D Jones Andrew J Otey Stanislaw P Stawicki 《World Journal of Gastrointestinal Endoscopy》 CAS 2015年第3期162-168,共7页
The intentional ingestion of foreign objects(IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional fac... The intentional ingestion of foreign objects(IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional facilities. Incidents often involve ingestion of small metal objects(e.g., paperclips, razor blades) or other commonly available items like pens or eating utensils. Despite ingestion of relatively sharp objects, most episodes can be clinically managed with either observation or endoscopy. Surgery should be reserved for those with signs or symptoms of gastrointestinal perforation or obstruction. For those with a history of IIFO, efforts should focus on prevention of recurrenceas subsequent episodes are associated with higher morbidity, significant healthcare and security costs. The pattern of IIFO is often repetitive, with escalation both in frequency of ingestions and in number of items ingested. Little is known about successful prevention strategies, but efforts to monitor patients and provide psychiatric care are potential best-practice strategies. This article aims to provide state-of-the art review on the topic, followed by a set of basic recommendations. 展开更多
关键词 ingestion FOREIGN body ENDOSCOPY PRISONER Swallower Prevention RECURRENCE
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Z-line examination by the PillCam^(TM) SB:Prospective comparison of three ingestion protocols 被引量:7
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作者 Ignacio Fernandez-Urien Erika Borobio +4 位作者 Inmaculada Elizalde Rebeca Irisarri Juan Jose Vila Jesus Maria Urman Javier Jimenez 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第1期63-68,共6页
AIM:To evaluate the Z-line visualization by the PillCamTM SB2 using three different ingestion protocols. METHODS:Ninety consecutive patients undergoing small bowel capsule endoscopy(SBCE)between January and May 2008 w... AIM:To evaluate the Z-line visualization by the PillCamTM SB2 using three different ingestion protocols. METHODS:Ninety consecutive patients undergoing small bowel capsule endoscopy(SBCE)between January and May 2008 were included in the study. They swallowed the capsule in the standing(Group A= 30),supine(Group B=30)and right supine positions (Group C=30).Baseline patient characteristics, difficulties in capsule ingestion,esophageal transit times(ETT)and Z-line visualization were noted. RESULTS:No significant differences were found between the groups with regard to baseline patient characteristics,ingestion difficulties and complete SB examinations(P>0.05).At least 1 frame of the Z-line was detected in 15.8%,46.7%and 90%of patients in groups A,B and C,respectively(P<0.001).The average number of Z-line images was 0.21±0.53,3.23 ±6.59 and 5.53±7.55 and the mean%of the Z-linedetected was 71.3,25.1 and 8.3,in groups A,B and C, respectively(both P<0.001).ETT times were longer in the supine group followed by the right supine and the standing groups(median of 237 s vs 64 s and 39 s, respectively;P<0.001). CONCLUSION:Z-line visualization in patients undergoing SBCE can be accurately achieved in most cases when the capsule is swallowed in the right supine position. 展开更多
关键词 BARRETT Capsule endoscopy ESOPHAGUS Gastroesophageal reflux disease ingestion VARICES Z-LINE
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Effect of UV-B Radiation on Ingesting and Nutritional Selecting Behavior of Rotifer Brachionus urceus 被引量:4
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作者 FENG Lei TANG Xuexi +3 位作者 WANG You XIAO Hiu MENG Xianghong CHEN Xiguang 《Wuhan University Journal of Natural Sciences》 CAS 2007年第2期361-366,共6页
Effect of UV-B radiation on ingesting and nutritional selecting behavior of the roifer Brachionus urceus on 5 species of microlgae were studied under controlled laboratory conditions. Restdts showed that enhanced UV-B... Effect of UV-B radiation on ingesting and nutritional selecting behavior of the roifer Brachionus urceus on 5 species of microlgae were studied under controlled laboratory conditions. Restdts showed that enhanced UV-B radiation significantly inhibited ingesting of the rotifer B. urceus when it was fed with 5 species of micro-algae (p〈0.05). The ingesting selectivity rate varied with the UV-B radiation enhancement when it was fed with 5 species micro-algal mixture. Results indicated that the enhanced UV-B radiation could affect ingesting and nutritional selectivity of B. urceus. 展开更多
关键词 UV-B radiation Brachionus urceus ingesting nutritional selecting behavior MICROALGAE
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Knowledge of aflatoxin contamination in groundnut and the risk of its ingestion among health workers in Ibadan,Nigeria 被引量:2
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作者 Ilesanmi FF Ilesanmi OS 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2011年第6期493-495,共3页
Objective:To assess the awareness and knowledge of aflatoxin contamination in groundnut and the risk of its ingestion among health workers in Ibadan.Methods:The study was a descriptive cross-sectional study.Study inst... Objective:To assess the awareness and knowledge of aflatoxin contamination in groundnut and the risk of its ingestion among health workers in Ibadan.Methods:The study was a descriptive cross-sectional study.Study instrument was a semi-structured self administered questionnaire. The respondents were health workers from a public health facility.Results:A total of 417 health workers participated out of which males were 60.2%.The mean age of respondents was(28.0±4.9) years old.Doctors made up 83.0%while others were nurses.95%of the respondents had previous awareness of aflatoxin and class room lectures was the most common source of information(56%).Occupation and religion both showed a significant association with previous awareness of aflatoxin(P<0.05).Knowledge regarding aflatoxin contamination in groundnut and the risk of its ingestion was obtained showing knowledge score range of 0 to 14.In all,80.6%had good scores of 11 to 14.None of the respondents had ever told their patients about the risk of aflatoxin ingestion. Conclusions:There is a need to explore the possibility of incorporating aflatoxin awareness into routine health talk to increase the level of awareness of patients and their relatives. 展开更多
关键词 Mycotoxins GROUNDNUT CONTAMINATION Health RISKS ingestion NEOPLASM AFLATOXIN
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Comparison of the effects of cold water and ice ingestion on endurance cycling capacity in the heat 被引量:2
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作者 Takashi Naito Tetsuro Ogaki 《Journal of Sport and Health Science》 SCIE 2017年第1期111-117,共7页
Purpose: The purpose of this study was to examine the effects of pre-cooling and fluid replacement with either crushed ice or cold water.Methods: On 2 separate occasions, in a counterbalanced order, 9 recreationally-t... Purpose: The purpose of this study was to examine the effects of pre-cooling and fluid replacement with either crushed ice or cold water.Methods: On 2 separate occasions, in a counterbalanced order, 9 recreationally-trained males ingested 1.25 g/kg(80–100 g) of either crushed ice(0.5℃)or cold water(4℃) every 5 min for 30 min before exercise. They also ingested 2.0 g/kg(130–160 g) of the same treatment drink at 15 min, 30 min, and45 min after the commencement of cycling to exhaustion at 60%VO_(2max) until voluntary exhaustion in a hot environment(35℃ and 30% relative humidity).Results: The cycling time to exhaustion in the crushed ice trial(50.0 ± 12.2 min) was longer than the cold water trial(42.2 ± 10.1 min; p = 0.02).Although the rectal temperature fell by 0.37℃± 0.03℃(p = 0.01) at the end of the resting period after the crushed ice ingestion, the rates of rise in rectal temperature during the exercise period were not significantly different between these 2 conditions(crushed ice: 0.23℃± 0.07℃, 5 min;cold water: 0.22℃± 0.07℃, 5 min; p = 0.94).Conclusion: Crushed ice ingestion before and during exercise in a hot environment may be a preferred and effective approach for minimizing thermal strain, and for improving endurance performance as compared with cold water ingestion. 展开更多
关键词 Cold water ingestion PRE-COOLING Rectal temperature THERMOREGULATION
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Hydrogen peroxide ingestion with injury to upper gastrointestinal tract 被引量:1
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作者 Jonathan V Martin Choichi Sugawa 《World Journal of Clinical Cases》 SCIE 2017年第10期378-380,共3页
Hydrogen peroxide is a common over-the-counter solution that has developed a growing body of literature regarding toxic ingestion. Intentional ingestion of high concentration hydrogen peroxide for health purposes has ... Hydrogen peroxide is a common over-the-counter solution that has developed a growing body of literature regarding toxic ingestion. Intentional ingestion of high concentration hydrogen peroxide for health purposes has gained popularity in certain patient populations; purported benefits are due to the increased oxygen released into the blood stream. We present for evaluation one such case with associated imaging that presented to our urban medical center. A brief review of the literature was also performed noting current recommendations regarding both outcomes and indications for endoscopy as well as hyperbaric oxygen therapy following ingestion of hydrogen peroxide. Our patient was a 51-year-old white female who presented with foamy hematemesis after ingesting 10 drops of 35% hydrogen peroxide as part of a home remedy to cleanse her colon and improve blood oxygenation. In addition to hematemesis,she also reported diffuse abdominal pain with sore throat and hoarse voice. Her imaging demonstrated portal venous gas and gastric edema. She was admitted for hyperbaric oxygen therapy and underwent upper endoscopy demonstrating diffuse esophagitis and gastritis with white exudate and multiple petechiae. She was later discharged home in stable condition and was lost to follow-up. 展开更多
关键词 HYDROGEN PEROXIDE CAUSTIC INJURY HYPERBARIC oxygen therapy ingestion of HYDROGEN PEROXIDE Arterial gas EMBOLI
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X-ray diagnosis with a bloating agent for foreign object ingestion 被引量:1
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作者 Hirokazu Tomishige Zenichi Morise +4 位作者 Tatsuya Suzuki Fujio Hara Masahito Hibi Takazumi Kato Takashi Hashimoto 《World Journal of Clinical Cases》 SCIE 2014年第5期157-159,共3页
The location of an ingested foreign object is often difficult to determine by X-ray if gastric air bubbles are not clear in the image.Methods that provide negative contrast can facilitate precise object localization,w... The location of an ingested foreign object is often difficult to determine by X-ray if gastric air bubbles are not clear in the image.Methods that provide negative contrast can facilitate precise object localization,which is important for object retrieval and treatment of the patient.This case report describes a male child,2 years and 2 mo of age,who accidentally swallowed a lithium battery while playing at home.A plain X-ray showed that the battery was in the abdomen,but it was unclear whether the object was still inside the stomach.A second X-ray examination performed after oral administration of a bloating agent to produce expansion of the stomach and provide negative contrast confirmed that the ingested battery was still in the stomach.The battery was then carefully removed using magnetic and balloon catheters under fluoroscopic guidance.This case report describes the successful use of an orally administered bloating agent without pain to the child in orderto determine the precise location of a foreign object in the abdomen. 展开更多
关键词 ACCIDENTAL ingestion BLOATING AGENT X-ray MINIMAL invasion FOREIGN OBJECT
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Development Strategy of Engine Bird Ingestion Certification Technology 被引量:1
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作者 陈伟 罗刚 +1 位作者 张晟 刘双丽 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI CSCD 2015年第5期485-494,共10页
The development strategy of the certification technology on engine bird ingestion is proposed after reviewing the development history of engine bird ingestion certification in developed Western countries,and analyzing... The development strategy of the certification technology on engine bird ingestion is proposed after reviewing the development history of engine bird ingestion certification in developed Western countries,and analyzing technical characteristics during different developing periods.Moreover,the main issues of bird ingestion certification technology,development program and strategy for the turbofan engines industry are addressed in detail.Finally,the relevant technique development is investigated and the main objects of bird ingestion certification technology for the turbofan engines are summarized and concluded. 展开更多
关键词 development strategy engines bird ingestion certification technology
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Estimation of Annual Effective Dose Due to Ingestion of Natural Radionuclides in Cattle in Tin Mining Area of Jos Plateau, Nigeria 被引量:1
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作者 Janet Ayobami Ademola 《Natural Science》 2014年第5期255-261,共7页
Contamination of land could occur during the extraction and handling of materials containing high levels of naturally occurring radionuclide materials. These radionuclides find their ways into the food chain. The acti... Contamination of land could occur during the extraction and handling of materials containing high levels of naturally occurring radionuclide materials. These radionuclides find their ways into the food chain. The activity concentrations of natural radionuclides 40K, 226Ra, and 232Th in heart, liver, kidney, lungs, spleen and beef of cattle slaughtered and consumed in a tin mining area of Jos Plateau, Nigeria were determined by gamma ray spectroscopy method. The activity concentration of 40K is the highest in all the samples. The annual effective dose to man through the ingestion of the radionuclides in the organs was estimated. The mean annual effective doses calculated are 35.35 ± 13.84, 57.89 ± 38.27 and 46.93 ± 10.28 μSv?y?1 for heart, liver and kidney, respectively. Those of lungs, spleen and meat are 28.44 ± 15.70, 48.34 ± 28.85 and 41.24 ± 3.56 μSv?y?1, respectively. These are of the order of two magnitudes higher than those obtained for food in Abeokuta, Nigeria. 展开更多
关键词 Natural Radionuclides TIN Mining CONTAMINATION CATTLE ingestion Effective DOSE
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Effects of Food Diet Preparation Techniques on Radionuclide Intake and Its Implications for Individual Ingestion Effective Dose in Abeokuta, Southwestern Nigeria 被引量:1
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作者 Nnamdi Norbert Jibiri Tolulope Hadrat Abiodun 《World Journal of Nuclear Science and Technology》 2012年第3期106-113,共8页
The radioactivity measurements in food crops and their diet derivatives and farm soil samples from Abeokuta, one of the elevated background radiation areas in Nigeria have been carried out in order to determine the co... The radioactivity measurements in food crops and their diet derivatives and farm soil samples from Abeokuta, one of the elevated background radiation areas in Nigeria have been carried out in order to determine the concentration levels of natural radionuclides (40K, 226Ra and 232Th). The activity concentrations of the natural radionuclides in the samples were determined via gamma-ray spectrometry using a 76 mm × 76 mm NaI(Tl) detector. Different common food crops representing the major sources of dietary requirements to the local population were collected for the measurements. The collected food crops were prepared into their different derivable composite diets using preparation techniques locale to the population. Using available food consumption data and the activity concentrations of the radionuclides, the ingestion effective doses were evaluated for the food crops and diet types per preparation techniques. For the tuberous food crop samples, the annual ingestion effective doses in the raw and different composite diets were 0.02 - 0.04 μSv and cumulatively 0.04 - 0.05 μSv while in the non-tuberous crops the doses were 0.44 - 0.70 μSv and cumulatively greater than 1 μSv respectively. Results of the study indicate that method of diet preparation is seen to play a major role in population ingestion dose reduction especially for tuberous crops than in non-tuberous crops. The study also showed that more ingestion dose could be incurred in diets prepared by roasting techniques. The result of the study will serve as a useful radiometric data for future epidemiological studies in the area and for food safety regulations and policy implementations in the country. 展开更多
关键词 Natural Radionuclides RADIONUCLIDE INTAKE Gamma Ray Spectroscopy FOOD CROPS Radiation Effective ingestion Dose DIET Preparation Techniques
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STUDIES ON THE INGESTION CHARACTERISTICS OF GIANT FRESHWATER PRAWN, CHINESE PRAWN AND GIANT TIGER PRAWN
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作者 臧维玲 王为东 +6 位作者 戴习林 江敏 朱正国 杨明辉 刘贤忠 徐桂荣 丁福江 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2000年第4期338-344,共7页
The ingestion of giant freshwater prawn, Chinese prawn and giant tiger prawn had continuity and the ingestion high peak occurred at night. Light and temperature had significant effects on the daily ingestion rate (DIR... The ingestion of giant freshwater prawn, Chinese prawn and giant tiger prawn had continuity and the ingestion high peak occurred at night. Light and temperature had significant effects on the daily ingestion rate (DIR) of giant freshwater prawn Macrobrachium rosenbergii . Red light and blue light favorably induced favorable ingestion. In the adaptive range of temperature, the DIR increased with rising temperature and feeding frequency, but decreased with rising body weight. 展开更多
关键词 MACROBRACHIUM rosenbergii PENAEUS CHINENSIS P. MONODON ingestion rate light temperature body weight
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Rectal perforation by inadvertent ingestion of a blister pack: A case report and review of literature
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作者 Francesco Fleres Antonio Ieni +4 位作者 Edoardo Saladino Giuseppe Speciale Michele Aspromonte Antonio Cannaò Antonio Macrì 《World Journal of Clinical Cases》 SCIE 2018年第10期384-392,共9页
The accidental ingestion of a foreign body(FB) is a relatively common condition. In the present study, we report a peculiar case of rectal perforation, the first to our knowledge, caused by the inadvertent ingestion o... The accidental ingestion of a foreign body(FB) is a relatively common condition. In the present study, we report a peculiar case of rectal perforation, the first to our knowledge, caused by the inadvertent ingestion of a blister pill pack. The aim of this report is to illustrate the difficulties of the case from a diagnostic and therapeutic viewpoint as well as its unusual presentation. A 75-year-old woman, mentally impaired, arrived at our emergency department in critical condition. The computed tomography scan revealed a substantial abdominopelvic peritoneal effusion and free perigastric air. The patient was therefore submitted to an urgent exploratory laparotomy; a 2-cm long, full-thickness lesion was identified in the anterior distal part of the intraperitoneal rectum. Hence, we performed a Hartmann's procedure. Because of her critical condition, the patient was eventually transferred to the Intensive Care Unit, where she died after 10 d, showing no surgical complication. The ingestion of FBs is usually treated with observation or endoscopic removal. Less than 1% of FBs are likely to cause an intestinal perforation. The intestinal perforation resulting from the unintentional ingestion of an FB is often a difficult challenge when it comes to treatment, due to its late diagnosis and the patients' deteriorated clinical condition. 展开更多
关键词 Foreign body Acute ABDOMEN syndrome ingestion RECTAL PERFORATION BLISTER PILL PACK
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Cut endotracheal tube for endoscopic removal of an ingested push-through pack
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作者 Yuki Tateno Ryoji Suzuki 《World Journal of Gastrointestinal Endoscopy》 CAS 2016年第13期472-476,共5页
A 52-year-old female presented to our clinic after accidentallyingesting a push-through pack(PTP). After determining that the PTP was present in the stomach, we successfully and safely removed it endoscopically by usi... A 52-year-old female presented to our clinic after accidentallyingesting a push-through pack(PTP). After determining that the PTP was present in the stomach, we successfully and safely removed it endoscopically by using a handmade endoscopic hood fashioned from a cut endotracheal tube. Foreign body ingestion is a common clinical problem, and most ingested foreign bodies pass spontaneously. However, the ingestion of sharp objects, such as PTPs, increases the risk of complications, and urgent endoscopy is recommended to remove such objects. Previous studies have reported the use of other devices, both commercial and handmade, for the safe endoscopic removal of foreign bodies. The novel design of our handmade hood for the removal of the PTP, which was fashioned from a cut endotracheal tube, was beneficial in terms of maintaining a wide visual field, patient safety and tolerance, and easy preparation compared to previously reported commercial and handmade devices. It may be a viable and safe device for the retrieval of PTPs and other sharp foreign bodies. 展开更多
关键词 Foreign body ingestion ENDOSCOPIC removal Push-through PACK SHARP OBJECT Handmade
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Laparoscopic retrieval of two intragastric spoons at least seven years after ingestion 被引量:1
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作者 Adeel Ahmed Shamim Muhammad Maaz Zuberi Amir Hafeez Shariff 《Laparoscopic, Endoscopic and Robotic Surgery》 2019年第3期77-79,共3页
Foreign body ingestion is a commonly encountered presentation.The majority of foreign bodies pass in stool spontaneously within one week or are managed endoscopically within the first 24e48 hours.No guidelines are ava... Foreign body ingestion is a commonly encountered presentation.The majority of foreign bodies pass in stool spontaneously within one week or are managed endoscopically within the first 24e48 hours.No guidelines are available for management of chronically retained foreign bodies at present.A unique case is presented of two chronically retained teaspoons in the stomach that failed endoscopic retrieval and required laparoscopic surgery.Post operatively,the patient did well with no complications.A large foreign body that is not amenable to endoscopic intervention will benefit from surgery.If expertise is available,laparoscopic intervention is a safe and feasible option to remove large foreign bodies from the stomach that is not amenable to endoscopic retrieval. 展开更多
关键词 ENDOSCOPY Large foreign body ingestion Laparoscopic retrieval
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The Effects of Palatable Sweet Ingesta on Human Responsivity to Heat Pain
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作者 Michele E. Mercer Mark D. Holder Russell J. Adams 《Journal of Behavioral and Brain Science》 2015年第10期405-419,共15页
It is well known that the taste of sweet solutions produces a morphine-like analgesia in both rats and human infants, and under certain conditions, possibly in human adults. To further explore whether ingestion analge... It is well known that the taste of sweet solutions produces a morphine-like analgesia in both rats and human infants, and under certain conditions, possibly in human adults. To further explore whether ingestion analgesia persists into human adulthood, the present study was the first to utilize contact heat, a method of pain induction used commonly in both behavioural and pharmacological studies with laboratory animals. Left arms of 120 university undergraduates were exposed to a hot-plate, with pain responsivity assessed both before and after consuming either nothing (control group), or foods that they rated previously as unpalatable (e.g., black olives), neutral (e.g., rice cakes), or palatable (e.g., chocolate-chip cookies). Pain responsivity was assessed with four pain measures: pain threshold, pain tolerance, and visual analogue scale (VAS) ratings of pain intensity and unpleasantness. Between-groups comparisons in 2 separate experiments revealed that women (but not men) who consumed a palatable food showed increased pain tolerance, relative to the nothing, unpalatable, or neutral groups. Collectively, these data support our previous findings that “palatability-induced analgesia” exists in human adults, at least in females. Moreover, the findings support contact heat as a suitable method for assessing ingestion analgesia to experimental pain with human adults. 展开更多
关键词 Heat PAIN ANALGESIA PALATABILITY SWEET ingestion Humans OPIOIDS
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The effect of sodium phosphate enema in patients ingested foreign bodies: a prospective, randomized trial——Sodium phosphate enema in patients ingested foreign bodies
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作者 Zeynep Ozkan Metin Kement +2 位作者 Mustafa Oncel Levent Kaptanoglu Cem Gezen 《Health》 2010年第11期1294-1297,共4页
Background: Although foreign body ingestion is a common problem, poor knowledge for the treatment still remains a major obstacle, especially in preventing complications. Phosphate enemas were applied for chronic const... Background: Although foreign body ingestion is a common problem, poor knowledge for the treatment still remains a major obstacle, especially in preventing complications. Phosphate enemas were applied for chronic constipation for a long period of time. This study aims to evaluate the effect of a single dose of phosphate enema on bowel movements in patients who suffer from foreign body ingestion. Materials and Methods: Forty consecutive patients admitted to our emergency unit for foreign body ingestion were randomized into two groups. Patients in both groups were followed up with daily imaging and physical examinations. Cases in Group SP received daily doses of sodium phosphate enemas, while Group C did not. Demographics, number of X-rays, radiation dose, and period of the foreign body passage were recorded and compared between two groups. Also, data of patients who ingested pins (Group P) were compared with of those who ingested other materials (Group O). Results: There was no statistical difference between groups (Group SP vs. Group C and Group P vs. Group O) comparing demographics, number of X-rays, total amount of radiation doses (p > 0.05 for all comparisons). The period of foreign body passage was shorter in Group SP (3.4 ± 1.6 days vs. 6.2 ± 3.8 days;p = 0.005). Also, patients who ingested pins were compared to patients who ingested other materials. Pins were ingested by 23 (65%) patients. These were older (16.6 ± 9.4 years vs. 4.8 ± 3.5 years;p = 0.001) and generally females (78.3% vs. 29.4;p = 0.006). Contrary to the other cases, pins were less frequently confirmed in stool in patients who ingested pins (p = 0.02). Conclusion: A single dose of phosphate enema use may hasten the passage of the foreign bodies. Ingestion of pins is the more common especially in young females. The evacuation of pins is generally recognized with direct examination of the stool, so daily imaging may not be necessary for this group of patients. 展开更多
关键词 SODIUM PHOSPHATE ENEMA Foreign BODY ingestion
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Ingestion and In <i>Vivo</i>Digestibility of a Concentrated Granulated Feed Containing Seeds of <i>Moringa oleifera</i>Associated with <i>Pennisetum purpureum</i>in Guinea Pigs
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作者 David Fokom Wauffo Fernand Tendonkeng +4 位作者 Emile Miégoué France-Gina Djoumessi Tobou Camara Sawa Mama Mouchili Gilles Azangue Jiope 《Open Journal of Animal Sciences》 2020年第4期782-791,共10页
In order to contribute to the improvement of guinea pig nutrition through the use of unconventional vegetable protein sources (<em>Moringa oleifera</em> seeds), experimental trials were carried out at the ... In order to contribute to the improvement of guinea pig nutrition through the use of unconventional vegetable protein sources (<em>Moringa oleifera</em> seeds), experimental trials were carried out at the Animal Production and Nutrition Research Unit (URPRONAN) of the University of Dschang in April 2018.<em> Moringa oleifera</em> seeds from North Cameroon were divided into three treatments: the first consisted of whole <em>Moringa oleifera</em> seeds (MO-whole), the second of Moringa oleifera seeds soaked in cold water for 24 hours (MO-water) and the third of peeled <em>Moringa oleifera</em> seeds (MO-peeled). The seeds belonging to these three treatments were analyzed for the determination of the chemical composition before being incorporated into the different concentrates. Each concentrate was then granulated and combined with <em>Pennisetum purpureum</em> to make up the different rations. 40 English Guinea pigs with an average weight of 350 ± 50 g were used to evaluate the ingestion and digestibility of each ration. During the digestibility test which lasted 17 days (10 days of adaptation and 07 days of data collection), each ration was repeated on 10 Guinea pigs. The main results showed that the total tannin and phenol contents decreased significantly (p < 0.05) in M. oleifera seeds soaked for 24 hours (8.2% DM;2884 mg/100gMS) and pulped (13.6% DM;3156 mg/100gMS). The intake of crude cellulose (10.26 gMS/d) and crude protein (3.21 gMS/d) in rations containing whole M. oleifera seeds was significantly (p < 0.05) lower than in other rations. Similarly, crude protein digestibility (77.04%) of rations containing whole M. oleifera seeds was significantly (p < 0.05) lower than other rations. This study shows that <em>Moringa oleifera</em> seeds soaked for 24 hours or pulped can be used in guinea pig feed as an alternative source of protein. 展开更多
关键词 Chemical Composition DIGESTIBILITY ingestion Guinea Pigs Moringa oleifera Pennisetum purpureum
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