成人における消化管異物手術症例12例の検討  [in Japanese] TWELVE OPERATED CASES OF INGESTED FOREIGN BODY IN ADULTS  [in Japanese]

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Abstract

消化管異物はそれ程珍しい疾患ではなく,なかでも小児が60~80%を占める.成人例でも,小児と同様に自然排泄が多く,手術に至ることは少ないとされている.今回,成人消化管異物手術例12例について検討を行った. 12例中9例(75%)が精神疾患を合併した症例(6例)か拘留中の被告(3例)であり,いずれも企図的に異物を嚥下した症例であった.しかも,アンテナや針金や箸といった常識では考えられないような物質を嚥下していた.このような症例ではX線透過性の物質を嚥下していたり,嚥下の時期が不明確であったり,また向精神薬の服用により腹部症状が不明瞭な場合があるので診断に特に注意が必要である.異物によっては放置すると穿孔やイレウスなどの可能性もあり積極的に手術を行うべきと考えられた.

Ingested foreign body is a relatively common entity and infant cases represented about 60-80% of all cases. Most adult cases occurred in psychopathic patients or those who attempted suicide. These ingested foreign bodies are often evacuated naturally and few cases have been operated on. In this paper 12 operated cases of ingested foreign body in adults are clinically studied. Nine (75%) of 12 patients had psychic disease of were defendants in the detention house. They swallowed incredible foreign bodies for instance an antenna and wire intentionally. In these cases, it is possible that they swallowed some X-ray permeable materials, and it is uncetrain when they swallowed the foreign bodies, because antipsychal drugs should mask their abdominal symptoms. So careful observation is important and we recommend to operate on them aggressively to avoid a possibility causing perforation or intestinal obstruction.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 57(2), 476-479, 1996-02-25

    Japan Surgical Association

References:  12

Cited by:  10

Codes

  • NII Article ID (NAID)
    10008519410
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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