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See 1 citation in Can J Surg 1993:

Can J Surg. 1993 Dec;36(6):551-4.

Pica in the mentally handicapped: a 15-year surgical perspective.

Author information

1
Department of Surgery, Orillia Soldiers Memorial Hospital, Ont.

Abstract

OBJECTIVE:

To review the general surgical management of mentally handicapped persons with pica.

DESIGN:

A study of hospital records and a review of the current literature.

SETTING:

A community hospital.

PATIENTS:

Thirty-five patients from a large institution for the mentally handicapped were treated for well-documented pica on 56 occasions at the Orillia Soldiers Memorial Hospital between 1976 and 1991.

INTERVENTIONS:

Endoscopy and laparotomy for the removal of foreign bodies or to close perforations.

RESULTS:

Fourteen (25%) cases of pica were managed by observation only, but 42 (75%) cases required surgical intervention. There were 34 laparotomies. The complication rate was 30% and the death rate 11%.

CONCLUSIONS:

Pica is a serious health risk for mentally handicapped patients. Diagnosis and postoperative care can be difficult. Pica should be suspected in mentally handicapped patients with gastrointestinal symptoms.

PMID:
8258137
[Indexed for MEDLINE]

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