Endoscopy for repeatedly ingested sharp foreign bodies in patients with borderline personality disorder: an international survey

European Journal of Gastroenterology & Hepatology
Cornelia M Frei-LanterPascal Frei

Abstract

The general guidelines on the management of ingested foreign bodies (FBs) do not address specific aspects raised by psychiatric patients, particularly in patients with borderline personality disorders (BPD) who repeatedly ingest FBs. The aim of this survey was to collect data on experience and opinions on the management of FBs in psychiatric patients with BPD and to review the relevant literature. A survey focusing on the indication and the timing of endoscopy for sharp FB removal in patients with BPD was e-mailed to 215 gastroenterologists, psychiatrists, and surgeons in Switzerland, Germany and Austria, discussing this clinical problem using a specific case vignette. Responses were received from 63 of 215 (29%) contacted physicians. Two-thirds of the respondents knew patients with BPD who had swallowed FBs repeatedly; 86% recommended removing sharp FBs endoscopically even in the case of repeated FB ingestion and 14% of respondents argued against emergent endoscopic FB removal in the case of repeated ingestions. Different specialities expressed partially divergent opinions regarding the management of these patients. Repeated FB ingestions can be a problem in patients with BPD. Although published data show that the perforation ...Continue Reading

References

Nov 11, 1991·World Journal of Surgery·J L BarrosJ M Monturiol
Feb 1, 1984·Annals of Surgery·V SelivanovR A Crass
Jan 1, 1995·Gastrointestinal Endoscopy·W A Webb
May 23, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Steven T Weiland, Michael J Schurr
May 25, 2002·Gastrointestinal Endoscopy·Glenn M EisenUNKNOWN American Society for Gastrointestinal Endoscopy
Apr 1, 1952·Annals of Surgery·T D GREKIN, M M MUSSELMAN
Dec 27, 2005·Gastrointestinal Endoscopy·Tony E YusufMichael J Levy
Jan 9, 2007·European Journal of Gastroenterology & Hepatology·Anurag GoelAshwin Verma
Apr 1, 1927·Annals of Surgery·L Carp
Aug 10, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Brian L HuangSteven F Moss
Sep 25, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·John Little, Bridget Little
Jan 5, 2011·Lancet·Falk LeichsenringFrank Leweke
Jun 2, 2011·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeJason A Dominitz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Brian L HuangSteven F Moss
La Pediatria medica e chirurgica : Medical and surgical pediatrics
M GasparellaG Perrino
Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
Sanjay NarwaniA S Bapna
© 2021 Meta ULC. All rights reserved