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2006, Number 1

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Rev Med Hosp Gen Mex 2006; 69 (1)

Endoscopic and surgical treatment of two cases of pica

Pérez-Torres E, Rodea-Rosas H, Bernal-Sahagún F, Abdo-Francis JM, Palomeque-López A

Language: Spanish
References: 27
Page: 26-31
PDF size: 199.16 Kb.


ABSTRACT

Pica is a compulsive or persistent eating disorder of nonnutritive substances, with a large range of clinic presentation, with potentially life-threatening. The ingestion of bizarre substances imply the posibility of obstruction, ulceration or perforation in the gastrointestinal tract, severe intoxication or infection. The psychologic patient’s conditions, nature and number of the ingested objects guide the best medical approach, that could be radiologic supervise, endoscopic extraction or surgery. We present two clinical cases attended in the Hospital General de México O.D.; the first one associated to mental retardation, that was treated with endoscopic procedures and surgery to extract the foreign bodies in esophagus and rectum, and the second associated to the repeated ingestion of objects in acute intoxication with alcohol and/or inhalated drugs, that produced intestinal perforation with abdominal sepsis and was operated many times for recurrent evisceration. Both cases had postoperative complications that were solved without mortality.


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