Document Detail


Whole body irrigation for contraband bodypackers.
MedLine Citation:
PMID:  12869886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
GOALS: Investigate outcomes of contraband body packers treated with whole bowel irrigation (WBI) using oral polyethylene glycol (PEG). Compare with prior studies of treatments using mild laxatives and/or observation. BACKGROUND: Drug smuggling via the gastrointestinal tract has risks including sudden death. Other studies have reported complication rates between 4% and 22%. STUDY: Retrospective case series of patients body packing contraband, and treated with WBI using PEG solution. Outcome measures include length of hospital stay (LOS) and complications. Statistical inferences using Spearman rank correlation and Fisher Exact tests. RESULTS: Sixteen patients with mean age 27.9 (SD 8.8). There were 2 complications (12.5%) and no deaths. There was no significant difference in complication frequency when compared with other reported treatment methods (P = 0.57, P = 0.48, P = 1.0). Mean LOS was 49.4 hours (SD 29.6). There was no correlation between mean LOS and either PEG dose (P = 0.89), drug type (P = 0.76), packet quantity (P = 0.34), or packet weight (P = 0.99). CONCLUSIONS: In this limited case series, WBI with PEG was used to treat contraband body packers with no higher complication frequency than other reported methods. The drug type, packet quantity, packet weight, and PEG dose did not correlate with the length of hospital stay.
Authors:
Jeffrey W Farmer; Shu B Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  37     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-18     Completed Date:  2003-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147-50     Citation Subset:  IM    
Affiliation:
Emergency Medicine Residency Program, Resurrection Medical Center, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Crime*
Female
Humans
Irrigation*
Male
Middle Aged
Polyethylene Glycols
Retrospective Studies
Street Drugs*
Chemical
Reg. No./Substance:
0/Polyethylene Glycols; 0/Street Drugs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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