Page 25 of 73 FOREIGN BODYS OF THE STOMACH AND INTESTINES
At suspicion on a proglatyvaniye of a foreign body carry out a survey X-ray analysis of a thorax and an abdominal cavity. If the subject is visible above a diaphragm, then it is deleted by means of the esophagoscope or the bronchoscope. As a rule, the swallowed subject which got into a stomach passes further through all digestive tract, without causing damages. Some types of foreign bodys are always potentially dangerous. Needles, pins, hairpins for hair easily get into a stomach, but, passing through turns of a duodenum, get stuck there and perforate intestines. Such dangerous foreign bodys usually manage to be taken by means of a gastroduodenoskop. Small safety pins can pass on a digestive tract, without injuring it even if they are open. Big pins irrespective of, they are open or are closed, it is possible to delete orally.
If the foreign body passed through the gatekeeper in intestines, monitor its advance on roentgenograms, and also investigate fecal masses after each defecation. For this purpose fecal masses washes out water in a sieve. If on a series of roentgenograms it is visible that the foreign subject moves ahead on intestines in the distal direction, then perforation is a little probable. Long sharp objects, and also the objects which are without the movement several weeks need to be removed by means of the magnetic catheter entered through a nose under radiological control or by means of a laparotomy as they can cause an ulceration or perforation of intestines. When there are such signs of perforation as morbidity of a stomach at a palpation, rigidity of an abdominal wall, pain, nausea, vomiting, urgent surgical intervention is shown. During finding of a foreign body in a digestive tract food has to remain normal, usual for the child. Any unusual diets (for example, the including wool or cotton) have no medical value and can do harm. Purgatives are contraindicated as they strengthen an intestines peristaltics owing to what the probability of perforation increases.
The children of chest and early age who are especially suffering from emotional disorders or a delay of mental development often are accustomed to swallow of hair (own hair, and also hair of dolls or a brush bristle). Besides, children swallow of fur, woolen and cotton fibers from clothes and blankets. Usually such material freely passes through a digestive tract, but if the habit remains a long time, then he crowds in a stomach where the so-called hair sphere or a trichobesoar is formed. Its signs are not certain, symptoms of gastric dyspepsia are sometimes observed. Tumorous education which the feeling of an easy poskripyvaniye gives is often palpated. At survey it is possible to find the sites or the thinned hair deprived of hair. On roentgenograms the education which is flowed round by a baric suspension is visible. The part of a bezoar sometimes comes off and, having got into intestines, causes its impassability. Existence of a bezoar can be suspected at research a calla or having seen that the child swallows of hair. The bezoar is deleted in the surgical way. The child needs to be shown to the psychiatrist.
Fitobezoara — accumulation of the fibrous or sticky products of a plant origin which are present, for example, at a persimmon. In comparison with a hair sphere of a fitobezoara are usually formed much quicker.