Yutulan ve cerrahi m�dahale gerektiren intraabdominal yabanc� cisim olgular�m�z

K�z�ltan, Remzi; Y�lmaz, �zkan; Aras, Abbas; Tokta�, Osman; Batur, Abdulsamet; A�ar, Fatma; �lmez, �ehmus; Kotan, �etin

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Yutulan ve cerrahi m�dahale gerektiren intraabdominal yabanc� cisim olgular�m�z [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2016; 22(3): 269-272 | DOI: 10.5505/tjtes.2015.87400

Yutulan ve cerrahi m�dahale gerektiren intraabdominal yabanc� cisim olgular�m�z

Remzi K�z�ltan¹, �zkan Y�lmaz¹, Abbas Aras¹, Osman Tokta�¹, Abdulsamet Batur², Fatma A�ar¹, �ehmus �lmez³, �etin Kotan¹
¹Y�z�nc� Y�l �niversitesi T�p Fak�ltesi, Genel Cerrahi ABD,Van
²Y�z�nc� Y�l �niversitesi T�p Fak�ltesi, Radyoloji ABD,Van
³Y�z�nc� Y�l �niversitesi T�p Fak�ltesi, Gastroenteroloji ABD,Van

AMA�: Bu �al��mada yutulan yabanc� cismin v�cut d��na ��kar�lmas� i�in cerrahi m�dahale yap�lan olgular analiz edildi.
GERE� VE Y�NTEM: Van Y�z�nc� Y�l �niversitesi T�p Fak�ltesi Genel Cerrahi Anabilim Dal��nda 2009 ile 2014 y�llar� aras�nda yabanc� cisim yutulmas� sonras�nda cerrahi m�dahale yap�lm�� yedi olgunun t�bbi kay�tlar� geriye d�n�k olarak incelendi.
BULGULAR: Erkek/kad�n oran� 2/5, ortalama ya� 25 (16�35), d�rt olgu toplu i�ne, bir olgu diki� i�nesi, bir olgu �engelli i�ne ve bir olgu da kol saati yutmu�tu. Kol saati yutan olgunun psikyatrik hastal�� bulunmaktayd�. Di�er b�t�n olgular yabanc� cisimleri kazara yuttuklar�n� ifade ediyorlard�.
TARTI�MA: Yutulan yabanc� cisimlerin �o�u bir hafta i�inde gastrointestinal tarktusu sorunsuzca ge�mekte ancak l�men d��na migrasyon yapan bir k�sm� perforasyon, apse, fist�l ve peritonit gibi komplikasyonlar nedeni ile cerrahi tedavi gerektirmektedir. Morbidite ve mortalitenin azalt�lmas� i�in erken tan� ve m�dahale �nemlidir. L�men d��na ��kan keskin ve sivri cisimlerin, herhangi bir komplikasyon meydana getirmeden cerrahi m�dahale ile ��kar�lmas� gerekti�ini d��nmekteyiz.

Anahtar Kelimeler: Cerrahi m�dahale, laparoskopi, laparotomi, yabanc� cisim; yutma.

Ingested intraabdominal foreign bodies that require surgical intervention

Remzi K�z�ltan¹, �zkan Y�lmaz¹, Abbas Aras¹, Osman Tokta�¹, Abdulsamet Batur², Fatma A�ar¹, �ehmus �lmez³, �etin Kotan¹
¹Y�z�nc� Y�l University Department Of General Surgery, Van
²Y�z�nc� Y�l University Department of Radiology, Van
³Y�z�nc� Y�l University Department of Gastroenterology, Van

BACKGROUND: The aim of the present study was to review cases that required surgical intervention to remove ingested foreign bodies.
METHODS: Medical records of 7 patients who underwent surgical intervention at the Yüzüncü Y�l University Department of General Surgery between 2009 and 2014 after ingesting foreign bodies were reviewed.
RESULTS: Female: male ratio was 5: 2; mean age was 25 (16�35). Four patients had swallowed pins, 1 patient had swallowed a sewing pin, 1 patient had swallowed a safety pin, and 1 patient had swallowed a wristwatch. The patient who had swallowed the wristwatch had psychiatric disorders. All other patients stated that they had swallowed the objects by accident.
CONCLUSION: Most ingested foreign bodies pass smoothly through the gastrointestinal (GI) tract within a week, but those that migrate out of the lumen require surgical intervention due to complications including perforation, abscess, fistula, and peritonitis. Early diagnosis and intervention is crucial to reduce morbidity and mortality. It is believed that sharp and pointed objects that migrate outside of the lumen ought to be removed, lest they cause complications.

Keywords: Foreign body, ingested, laparoscopy, laparotomy; surgical intervention.

Remzi K�z�ltan, �zkan Y�lmaz, Abbas Aras, Osman Tokta�, Abdulsamet Batur, Fatma A�ar, �ehmus �lmez, �etin Kotan. Ingested intraabdominal foreign bodies that require surgical intervention. Ulus Travma Acil Cerrahi Derg. 2016; 22(3): 269-272

Sorumlu Yazar: Remzi K�z�ltan, T�rkiye
Makale Dili: �ngilizce

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