Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study

Abstract Body stuffers routinely receive conservative treatment, i.e. administration of the laxative polyethylene glycol for the passage of ingested drug baggies and observation. Endoscopic baggie removal may offer a safe alternative that could result in shorter hospitalization. We aimed to compare...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mahtab Shabani, Marzieh Kefayati, Hossein Hassanian-Moghaddam, Nasim Zamani, Rebecca McDonald
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0f333647eb0f43c1a3fd268e90542d85
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0f333647eb0f43c1a3fd268e90542d85
record_format	dspace
spelling	oai:doaj.org-article:0f333647eb0f43c1a3fd268e90542d852021-12-02T11:37:22ZComplications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study10.1038/s41598-021-84898-z2045-2322https://doaj.org/article/0f333647eb0f43c1a3fd268e90542d852021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84898-zhttps://doaj.org/toc/2045-2322Abstract Body stuffers routinely receive conservative treatment, i.e. administration of the laxative polyethylene glycol for the passage of ingested drug baggies and observation. Endoscopic baggie removal may offer a safe alternative that could result in shorter hospitalization. We aimed to compare complications, hospital stay, and final outcome in body stuffers assigned to endoscopy versus conservative treatment. This is an observational prospective study of body stuffers presenting to a clinical toxicology center in Tehran (Iran) in 2016–2019, irrespective of the drug ingested. Eligible patients had baggies in their upper gastrointestinal tract and presented without severe poisoning. Patients received either endoscopy or conservative treatment, and clinical outcomes were compared between the groups. A total of 69 patients were enrolled, with a median age of 29 years (range 18–64), among whom 1 was female (2%). Eighteen and 51 patients were endoscopically and conservatively managed, respectively. Drugs most commonly ingested were heroin in endoscopy patients (8/18 cases; 44%) and methamphetamine in the conservative group (28/51 cases; 55%). Endoscopy patients had a shorter hospital stay (median 1.5 vs. 2 days, P = 0.018). In the conservative group, one patient died, and the rate of complications was significantly higher, with more patients experiencing side effects (OR = 1.4, 95% CI = 1.2, 1.7) and requiring intubation (OR = 1.3, 95% CI = 1.1, 1.5). Endoscopic retrieval was associated with fewer complications and shorter hospitalization. Endoscopy may be a safe treatment for body stuffers without severe poisoning on presentation.Mahtab ShabaniMarzieh KefayatiHossein Hassanian-MoghaddamNasim ZamaniRebecca McDonaldNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mahtab Shabani Marzieh Kefayati Hossein Hassanian-Moghaddam Nasim Zamani Rebecca McDonald Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
description	Abstract Body stuffers routinely receive conservative treatment, i.e. administration of the laxative polyethylene glycol for the passage of ingested drug baggies and observation. Endoscopic baggie removal may offer a safe alternative that could result in shorter hospitalization. We aimed to compare complications, hospital stay, and final outcome in body stuffers assigned to endoscopy versus conservative treatment. This is an observational prospective study of body stuffers presenting to a clinical toxicology center in Tehran (Iran) in 2016–2019, irrespective of the drug ingested. Eligible patients had baggies in their upper gastrointestinal tract and presented without severe poisoning. Patients received either endoscopy or conservative treatment, and clinical outcomes were compared between the groups. A total of 69 patients were enrolled, with a median age of 29 years (range 18–64), among whom 1 was female (2%). Eighteen and 51 patients were endoscopically and conservatively managed, respectively. Drugs most commonly ingested were heroin in endoscopy patients (8/18 cases; 44%) and methamphetamine in the conservative group (28/51 cases; 55%). Endoscopy patients had a shorter hospital stay (median 1.5 vs. 2 days, P = 0.018). In the conservative group, one patient died, and the rate of complications was significantly higher, with more patients experiencing side effects (OR = 1.4, 95% CI = 1.2, 1.7) and requiring intubation (OR = 1.3, 95% CI = 1.1, 1.5). Endoscopic retrieval was associated with fewer complications and shorter hospitalization. Endoscopy may be a safe treatment for body stuffers without severe poisoning on presentation.
format	article
author	Mahtab Shabani Marzieh Kefayati Hossein Hassanian-Moghaddam Nasim Zamani Rebecca McDonald
author_facet	Mahtab Shabani Marzieh Kefayati Hossein Hassanian-Moghaddam Nasim Zamani Rebecca McDonald
author_sort	Mahtab Shabani
title	Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
title_short	Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
title_full	Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
title_fullStr	Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
title_full_unstemmed	Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
title_sort	complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0f333647eb0f43c1a3fd268e90542d85
work_keys_str_mv	AT mahtabshabani complicationsandhospitalstayafterendoscopicretrievalofdrugbaggiesinbodystuffersanobservationalprospectivestudy AT marziehkefayati complicationsandhospitalstayafterendoscopicretrievalofdrugbaggiesinbodystuffersanobservationalprospectivestudy AT hosseinhassanianmoghaddam complicationsandhospitalstayafterendoscopicretrievalofdrugbaggiesinbodystuffersanobservationalprospectivestudy AT nasimzamani complicationsandhospitalstayafterendoscopicretrievalofdrugbaggiesinbodystuffersanobservationalprospectivestudy AT rebeccamcdonald complicationsandhospitalstayafterendoscopicretrievalofdrugbaggiesinbodystuffersanobservationalprospectivestudy
_version_	1718395744355876864

Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study

Ejemplares similares