Two new studies suggest that even when a person swallows something as potentially harmful as a razor blade or a magnet, a doctor's best course of action may be to let nature takes it course.
Some adults who show up to the emergency department after swallowing a razor blade, a battery, magnet, or multiple objects do it for"secondary gain." They want to get medical attention, an overnight stay in the hospital or other perceived benefits, experts say.
Two new studies lean toward conservative management, or letting nature take its course, in most cases.A team of University of Southern California researchers found removal didn’t depend on how “high risk” an object was – like a battery that could leak acid or a sharp razor blade. “We basically treat the full spectrum of the patient population that does this,” he said earlier this month at Digestive Disease Week 2023 in Chicago, an international meeting for health care providers who treat GI disorders.
Twelve of the patients had surgery. In 10 cases, the objects cut something internally and in two cases, an object got stuck. The 12 surgery patients had objects that were longer, about 4.5 inches compared to just over 1 inch in people who didn’t have surgery. Educating people and sending them home for nature to take its course -- without a hospital stay or a slew of procedures – can remove a lot of their"secondary gain," he said.or get stuck in the esophagus. Otherwise, people are treated as outpatients.
Just more than half, 55%, of patients were treated conservatively. Higher-risk cases were about as likely to be managed conservatively or with endoscopy. Similar to the USC study, no perforations or bowel obstructions were reported.
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