Esophageal Obstruction by a Lemon that Required Esophagotomy: Thoughts on Prevention

Autor/inn/en	Lohiya, Gham-Shyam; Tan-Figueroa, Lilia; Van Le, Hung; Rusu, Lucia
Titel	Esophageal Obstruction by a Lemon that Required Esophagotomy: Thoughts on Prevention
Quelle	In: Mental Retardation: A Journal of Practices, Policy and Perspectives, 43 (2005) 5, S.317-321 (5 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0047-6765
Schlagwörter	Prevention; Eating Disorders; Food; Surgery; Radiology; Nonverbal Communication; Seizures; Disabilities; Epilepsy + Suchen Sie Ihr Suchwort? Prävention; Vorbeugung; Appetite disorder; Essstörung; Lebensmittel; Chirurgie; Radiologie; Non-verbal communication; Nonverbale Kommunikation; Anfallsleiden; Handicap; Behinderung; Epilepsie
Abstract	A patient with pica and Lennox Gastaut syndrome suddenly refused oral intake. Neck radiographs revealed no foreign body. Barium swallow identified an irregular filling defect in the cervical esophagus. Esophagoscopy showed a gold ball-like object (half a lemon) 3 cm distal to the cricopharyngeus. This object had to be removed by esophagotomy after failed attempts with flexible and rigid esophagoscopy, laryngoscopy, and a Foley catheter. The charge for her 39-day hospitalization was $282,761. She had ingeniously procured and swallowed the lemon despite a full-face plastic shield and staff surveillance. In nonverbal persons, medically unexplainable abrupt food-refusal is an emergency. Prevention necessitates attention to pica, impulsivity, dentition, food consistency, eating utensils, seizures, environment, adaptive equipment, and surveillance. (Author).
Anmerkungen	American Association on Mental Retardation. P.O. Box 7065, Lawrence, KS 66044-7065. Tel: 785-843-1235; Fax: 785-843-1274; e-mail: AJMR@allenpress.com; Web site: http://www.aamr.org/Periodicals/index.shtml.
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10