Qat-induced intestinal obstruction: A case series of a new entity

Background: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. Methods: This re...

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Autor principal:	Mhd Firas Safadi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2018
Materias:	intestinal obstruction khat mechanical ileus paralytic ileus qat Medicine R
Acceso en línea:	https://doaj.org/article/1ec83eff5e2349ad8d3f95ac78d45240
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spelling	oai:doaj.org-article:1ec83eff5e2349ad8d3f95ac78d452402021-12-02T16:35:53ZQat-induced intestinal obstruction: A case series of a new entity2231-07702249-446410.4103/ajm.AJM_198_17https://doaj.org/article/1ec83eff5e2349ad8d3f95ac78d452402018-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_198_17https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. Methods: This retrospective case series included all patients who presented with qat-induced intestinal obstruction between July 1, 2013, and December 31, 2015. Results: The study included seven patients (five males and two females). The mean age was 41.4 years (22–60 years). All patients presented after 8–12 h of prolonged qat chewing with abdominal pain, severe abdominal distension, and inability to pass stool. Laboratory results were normal apart from slight leukocytosis (<15 × 109/L) in three patients. All patients showed air–fluid levels on the erect abdominal X-ray. The management included intravenous fluids and symptomatic therapy. The symptoms resolved in 1–2 days and the follow-up after 1 week showed no residual complaints. Conclusions: Qat-induced intestinal obstruction is associated with the heavy and prolonged consumption of qat. The presentation mimics acute intestinal obstruction, but the course is benign. Spontaneous resolution with supportive inpatient treatment is the rule.Mhd Firas SafadiThieme Medical and Scientific Publishers Pvt. Ltd.articleintestinal obstructionkhatmechanical ileusparalytic ileusqatMedicineRENAvicenna Journal of Medicine, Vol 8, Iss 03, Pp 82-86 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	intestinal obstruction khat mechanical ileus paralytic ileus qat Medicine R
spellingShingle	intestinal obstruction khat mechanical ileus paralytic ileus qat Medicine R Mhd Firas Safadi Qat-induced intestinal obstruction: A case series of a new entity
description	Background: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. Methods: This retrospective case series included all patients who presented with qat-induced intestinal obstruction between July 1, 2013, and December 31, 2015. Results: The study included seven patients (five males and two females). The mean age was 41.4 years (22–60 years). All patients presented after 8–12 h of prolonged qat chewing with abdominal pain, severe abdominal distension, and inability to pass stool. Laboratory results were normal apart from slight leukocytosis (<15 × 109/L) in three patients. All patients showed air–fluid levels on the erect abdominal X-ray. The management included intravenous fluids and symptomatic therapy. The symptoms resolved in 1–2 days and the follow-up after 1 week showed no residual complaints. Conclusions: Qat-induced intestinal obstruction is associated with the heavy and prolonged consumption of qat. The presentation mimics acute intestinal obstruction, but the course is benign. Spontaneous resolution with supportive inpatient treatment is the rule.
format	article
author	Mhd Firas Safadi
author_facet	Mhd Firas Safadi
author_sort	Mhd Firas Safadi
title	Qat-induced intestinal obstruction: A case series of a new entity
title_short	Qat-induced intestinal obstruction: A case series of a new entity
title_full	Qat-induced intestinal obstruction: A case series of a new entity
title_fullStr	Qat-induced intestinal obstruction: A case series of a new entity
title_full_unstemmed	Qat-induced intestinal obstruction: A case series of a new entity
title_sort	qat-induced intestinal obstruction: a case series of a new entity
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2018
url	https://doaj.org/article/1ec83eff5e2349ad8d3f95ac78d45240
work_keys_str_mv	AT mhdfirassafadi qatinducedintestinalobstructionacaseseriesofanewentity
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Qat-induced intestinal obstruction: A case series of a new entity

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