Acute abdomen in mentally retarded patients: role of aerophagia. Report of nine cases

Between 1993 and 1996 nine mentally retarded patients presented because of an acute abdomen. All had the habit of aerophagia, diagnosed previously by a general practitioner. Massive distension of the bowel led to ileus, volvulus, and necrosis. After placement of a percutaneous endoscopic gastrostomy...

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Bibliographic Details
Published in:The European journal of surgery 1999-05, Vol.165 (5), p.507-511
Main Authors: van der Kolk, Marion B. M., Bender, Mart H. M., Goris, R. Jan A.
Format: Article
Language:English
Subjects:
Abdomen, Acute - etiology
Adult
Aerophagy - complications
Biological and medical sciences
Child clinical studies
Developmental disorders
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intellectual deficiency
Intellectual Disability
Male
Medical sciences
Other diseases. Semiology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Description
Summary:Between 1993 and 1996 nine mentally retarded patients presented because of an acute abdomen. All had the habit of aerophagia, diagnosed previously by a general practitioner. Massive distension of the bowel led to ileus, volvulus, and necrosis. After placement of a percutaneous endoscopic gastrostomy catheter or performing a gastrostomy during laparotomy with the intention to use as a desufflator, no recurrence of the signs and symptoms of an acute abdomen were observed.
ISSN:1102-4151
1741-9271
DOI:10.1080/110241599750006802