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Qat-induced intestinal obstruction: A case series of a new entity
BACKGROUND: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. METHODS: This re...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057166/ https://www.ncbi.nlm.nih.gov/pubmed/30090746 http://dx.doi.org/10.4103/ajm.AJM_198_17 |
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author | Safadi, Mhd Firas |
author_facet | Safadi, Mhd Firas |
author_sort | Safadi, Mhd Firas |
collection | PubMed |
description | BACKGROUND: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. METHODS: This retrospective case series included all patients who presented with qat-induced intestinal obstruction between July 1, 2013, and December 31, 2015. RESULTS: The study included seven patients (five males and two females). The mean age was 41.4 years (22–60 years). All patients presented after 8–12 h of prolonged qat chewing with abdominal pain, severe abdominal distension, and inability to pass stool. Laboratory results were normal apart from slight leukocytosis (<15 × 10(9)/L) in three patients. All patients showed air–fluid levels on the erect abdominal X-ray. The management included intravenous fluids and symptomatic therapy. The symptoms resolved in 1–2 days and the follow-up after 1 week showed no residual complaints. CONCLUSIONS: Qat-induced intestinal obstruction is associated with the heavy and prolonged consumption of qat. The presentation mimics acute intestinal obstruction, but the course is benign. Spontaneous resolution with supportive inpatient treatment is the rule. |
format | Online Article Text |
id | pubmed-6057166 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-60571662018-08-08 Qat-induced intestinal obstruction: A case series of a new entity Safadi, Mhd Firas Avicenna J Med Original Article BACKGROUND: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. METHODS: This retrospective case series included all patients who presented with qat-induced intestinal obstruction between July 1, 2013, and December 31, 2015. RESULTS: The study included seven patients (five males and two females). The mean age was 41.4 years (22–60 years). All patients presented after 8–12 h of prolonged qat chewing with abdominal pain, severe abdominal distension, and inability to pass stool. Laboratory results were normal apart from slight leukocytosis (<15 × 10(9)/L) in three patients. All patients showed air–fluid levels on the erect abdominal X-ray. The management included intravenous fluids and symptomatic therapy. The symptoms resolved in 1–2 days and the follow-up after 1 week showed no residual complaints. CONCLUSIONS: Qat-induced intestinal obstruction is associated with the heavy and prolonged consumption of qat. The presentation mimics acute intestinal obstruction, but the course is benign. Spontaneous resolution with supportive inpatient treatment is the rule. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6057166/ /pubmed/30090746 http://dx.doi.org/10.4103/ajm.AJM_198_17 Text en Copyright: © 2018 Avicenna Journal of Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Safadi, Mhd Firas Qat-induced intestinal obstruction: A case series of a new entity |
title | Qat-induced intestinal obstruction: A case series of a new entity |
title_full | Qat-induced intestinal obstruction: A case series of a new entity |
title_fullStr | Qat-induced intestinal obstruction: A case series of a new entity |
title_full_unstemmed | Qat-induced intestinal obstruction: A case series of a new entity |
title_short | Qat-induced intestinal obstruction: A case series of a new entity |
title_sort | qat-induced intestinal obstruction: a case series of a new entity |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057166/ https://www.ncbi.nlm.nih.gov/pubmed/30090746 http://dx.doi.org/10.4103/ajm.AJM_198_17 |
work_keys_str_mv | AT safadimhdfiras qatinducedintestinalobstructionacaseseriesofanewentity |