A rare cause of gastric obstruction: Lighters swallowing

The majority of ingested foreign bodies thrown spontaneously without causing complications in the digestive system. Ingested foreign bodies may be a large number in psychiatric patients resulting delay diagnosis and an increase of 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 removal in a 28-year-old schizophrenia patient with gastric outlet obstruction due to multiple cigarette lighter swallowing. Ten lighters were removed from stomach with gastrotomy and one more lighter was removed from descending colon by milking through the anus. The aim of this paper is to argue encountered difficulties in psychiatric patients who underwent surgery due to ingestion of foreign bodies.

Nadir bir gastrik obstrüksiyon nedeni: Çakmak yutma

Yutulan yabancý cisimlerin büyük kýsmý sindirim sisteminde komplikasyon oluþturmadan spontan olarak atýlýr. Psikiyatrik hasta grubunda yutulan cisimler çok sayýda olabilir ve bu grupta tanýda gecikme ve komplikasyon oranýnda artma ile sonuçlanýr. Uzun ve sert cisimler pilordan geçmeyerek; obstrüksiyon, ülser, kanama ve perforasyon oluþturabilir. Endoskopi bu tür olgularda efektif olarak kullanýlýr. Multipl sigara çakmaðý yutma nedeniyle; gastrik çýkýþ obstrüksiyonu geliþen þizofreni tanýlý 28 yaþýndaki erkek hastaya yapýlan endoskopide yabancý cisimlerin çýkarýlamamasý üzerine gastrotomi yapýlarak 10 adet çakmak mideden, bir adet çakmak inen kolondan saðýlarak anal kanaldan çýkarýlmýþtýr. Bu olgu sunumu ile yabancý cisim yutma nedeniyle cerrahi yapýlan psikiyatrik hastalarda karþýlaþýlan zorluklar irdelenmeye çalýþýldý.