Intentional ingestions of foreign objects among prisoners：A review

• 作者: Andrew J Otey Christian D Jones David C Evans Stanislaw P Stawicki Thomas R Wojda
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Ingestion FOREIGN body ENDOSCOPY PRISONER Swallower Prevention RECURRENCE
• 年，卷（期）: 2015,（3）
• 页码范围: 162-168
• 页数: 7页
• 分类号: R

摘要

The intentional ingestion of foreign objects （IIFO）is described more commonly in prison populationsthan in the general population, with an estimatedannual incidence of 1 in 1900 inmates in our statecorrectional facilities. Incidents often involve ingestionof small metal objects （e.g. , paperclips, razor blades）or other commonly available items like pens or eatingutensils. Despite ingestion of relatively sharp objects,most episodes can be clinically managed with eitherobservation or endoscopy. Surgery should be reservedfor those with signs or symptoms of gastrointestinalperforation or obstruction. For those with a history ofIIFO, efforts should focus on prevention of recurrenceas subsequent episodes are associated with highermorbidity, significant healthcare and security costs.The pattern of IIFO is often repetitive, with escalationboth in frequency of ingestions and in number of itemsingested. Little is known about successful preventionstrategies, but efforts to monitor patients and providepsychiatric care are potential best-practice strategies.This article aims to provide state-of-the art review onthe topic, followed by a set of basic recommendations.