The best treatment option in colorectal foreign bodies; simplicity: Experience of two centers
Acta Medica Mediterranea, cilt.30, sa.3, ss.737-741, 2014 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 3
- Basım Tarihi: 2014
- Dergi Adı: Acta Medica Mediterranea
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.737-741
- Anahtar Kelimeler: Colorectal, foreign body, simplicity
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Rectal foreign bodies often cause a serious challenge on the clinician. Objects can be inserted for diagnostic or therapeutic purposes, or self-treatment of anorectal disease, by criminal assault and accident but most commonly, for sexual purposes. We aimed to evaluate patients with foreign bodies in rectum and review the management strategy of these patients in this paper. Materials and methods: The data of all the patients who were treated in Tepecik Education and Research Hospital and Atatürk Education and Research Hospital, General Surgery Departments during a 7 years period between 2006 and 2013 were retrospectively analysed. Results: A total of 36 patients, 33 men and 3 women, were admitted with retained rectal foreign body or associated complications. The age range was from 14 to 71 years. The time to presentation and extraction of the foreign body is a range of 4 hours to 15 days. 8 of 36 patients underwent surgery. Discussion: Colorectal foreign bodies are usually inserted for sexual activity. Physical and rectal examination, rectosigmoidoscopy and plain radiograms should be routinezed for diagnosis and localisation. The first principle in treatment is simplicity. At least 24 hours of observation while eliminating perforation with repeated physical examinations and plain abdominal x rays is necessary for cases whom the extraction of the object achieved via anus.