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New findings from F. Haider and co-authors describe advances in gastrotomy
2009 JUN 8 - (NewsRx.com) -- According to a study from Ottawa, Canada, "Iron ingestion accounts for approximately 3% of calls to poison control centers. The profound local and systemic effects of an iron overdose have an associated mortality rate of 5%." "Laparotomy and gastrotomy has been reported as a life-saving maneuver to extract the retained iron aggregates that are notoriously resistant to, removal by conventional emesis or lavage techniques. In this paper, we describe, for the first time, the use of laparoscopic-assisted gastrotomy in the treatment of an iron overdose. A 14-year-old girl attempted suicide by means of a polydrug drug overdose, which included ferrous fumarate, at a calculated potentially lethal dose of 70 mg/kg. A gastric iron bezoar was seen on plain radiograph. The regional poison control center recommended surgical removal of the retained iron tablets. Upper endoscopy confirmed the retention of iron and showed its dense adherence to the gastric mucosa. A 5-mm laparoscope was introduced at the umbilicus, and the stomach was grasped by an instrument introduced through a left-upper quadrant incision. The incision was then enlarged to allow the formation of a gastrotomy. The iron bezoar was removed with the aid of digital disimpaction and copious saline irrigation. The patient made a rapid postoperative recovery prior to undergoing psychiatric treatment," wrote F. Haider and colleagues. The researchers concluded: "We conclude that laparoscopic-assisted gastrotomy is a simple and safe option in the acute management of a retained iron bezoar." Haider and colleagues published their study in the Journal of Laparoendoscopic & Advanced Surgical Techniques (Emergency Laparoscopic-Assisted Gastrotomy for the Treatment of an Iron Bezoar. Journal of Laparoendoscopic & Advanced Surgical Techniques, 2009;19(Suppl. 1):S141-S143). For more information, contact B. Sweeney, Children's Hospital Eastern Ontario, Division Pediatrics Surgery, 401 Smyth Rd., Ottawa, ON K1H 8L1, Canada. Publisher contact information for the Journal of Laparoendoscopic & Advanced Surgical Techniques is: Mary Ann Liebert Inc., 140 Huguenot Street, 3RD FL, New Rochelle, NY 10801, USA. Keywords: Canada, Ottawa, Addiction Medicine, Attempted Suicide, Drugs, Ferrous Fumarate, Gastrotomy, Laparotomy, Mental Health, Pharmaceuticals, Suicide, Surgery, Therapy, Treatment, Vomiting. This article was prepared by Biotech Business Week editors from staff and other reports. Copyright 2009, Biotech Business Week via NewsRx.com.
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