PDF(Pubmed)
Abstract：
Foreign body ingestion is a common consultation for gastroenterologists. Without knowing the object(s) ingested, the differential diagnosis is broad, especially in patients with underlying mental health conditions, such as uncontrolled bipolar disorder, prior suicide attempts, or recreational drug use. The differential should include substances taken with suicidal intent or for concealment of illicit drugs. Certain foreign objects may require urgent or emergent endoscopic intervention. However, one should also consider benign, iatrogenic causes such as large, radiolucent potassium pills given in the emergency department, which do not require further intervention or hospitalization.
摘要：
异物摄入是胃肠病学家的常见咨询。在不知道摄取的对象的情况下，鉴别诊断是广泛的，尤其是有潜在心理健康状况的患者，比如不受控制的双相情感障碍，先前的自杀企图,或娱乐性药物使用。差异应包括出于自杀意图或隐瞒非法药物而服用的物质。某些异物可能需要紧急或紧急的内窥镜介入。然而,人们还应该考虑良性的，医源性原因，如大，在急诊科给予放射性透钾药，不需要进一步干预或住院治疗。
