AI Article Synopsis
- Management of ingested narcotics is debated, with guidelines suggesting conservative treatment first, escalating to surgery if necessary.
- Studies indicate endoscopic methods can effectively treat these cases, though they are not always the first recommendation.
- A 27-year-old man who ingested heroin bundles underwent successful endoscopic retrieval after conservative therapy failed, highlighting the potential benefits of this approach.
Article Abstract
Management of swallowed narcotics remains in contention despite the increased frequency of occurrence. International societies recommend conservative therapy with escalation to surgical interventions in cases where drug packets do not progress. However, multiple studies demonstrate a treatment benefit of endoscopic intervention. We report the case of a 27-year-old male who presented after ingesting heroin bundles and failed the 48-hour of conservative therapy. Repeat computed tomography scanning demonstrated no movement of the package. Endoscopic retrieval was successful, and the patient was discharged the same day. Endoscopic intervention in the removal of bagged narcotics should be considered in patients presenting after purposely ingesting narcotics as means of planned concealment.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9203251 | PMC |
| http://dx.doi.org/10.7759/cureus.25058 | DOI Listing |
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