Symptomatology of foreign bodies of the gastrointestinal tract

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Abstract


Goal. To study the questions of the clinic and develop the symptomatology of foreign bodies of the gastrointestinal tract (GIT).

Materials and methods. From 1997 to 2017 years. 90 patients with foreign bodies of the gastrointestinal tract were observed. A set of endoscopic and radial methods was used for diagnostics. The localization, magnitude and nature of the detected foreign bodies (IT) was compared with the detected symptoms.

Results. Deliberately swallowed IT 50 patients, accidentally - 40. only 90 patients were swallowed 193 subjects (nails, needles, wire pieces, etc.). Based on the study, three forms of clinical course were identified with ingested IT intestinal tract: latent, manifest and complicated. Pathognomonic symptoms of the intestinal tract are "migrating" abdominal pain associated with migration of IT through the lumen of the gastrointestinal tract, increased pain during movement, physical stress and palpation, a feeling of "heaviness" in the epigastric region. With multiple gastric IT, the auscultative "pinging" symptom is identified. Pain in the IT GI tract is not associated with food intake and does not stop after taking antacid drugs.

Conclusions. The introduction of the developed symptomatology of the GIT intestinal tract into the practice of health care and training of physicians will contribute to their earlier and more accurate diagnosis.


Mihail Davidov

Пермский государственный медицинский университет

Email: midavidov@mail.ru

Russian Federation

кандидат медицинский наук, доцент кафедры факультетской хирургии №1 с курсом урологии

Vaycheslav Subbotin

Email: kaf.fakul.hir@yandex.ru

Olga Nikonova

Author for correspondence.
Email: nikonova-olga@yandex.ru
ORCID iD: 0000-0002-4829-1877

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