Objective: The aim of this study was to evaluate the diagnosis, treatment modalities, and outcomes of patients who presented to the emergency department due to razor blade ingestion.
Materials and Methods: The hospital records of patients who presented to the emergency department with razor blade ingestion and were consulted to the General Surgery Clinic between 2021 and 2024 were retrospectively reviewed. Symptoms, demographic data, time to presentation, number of ingested razor blades, imaging findings, applied treatment methods, complications, and outcomes were analyzed.
Results: A total of 72 patients with complete medical records were included in the study. All patients were male and incarcerated. The mean age was 31.2 years, and the mean time to presentation was 8 hours. The mean number of ingested razor blades was 1.4. Endoscopy was performed in 7 (10%) patients in whom imaging showed the razor blade at the gastric level; all of these patients had presented within the first 6 hours. In 2 patients, the razor blade(s) were successfully removed endoscopically, whereas no razor blade was visualized in the stomach in 5 patients. Surgery was successfully performed in 2 (3%) patients, while 63 (87%) patients improved without any intervention under outpatient conservative observation and follow-up. The patients in whom endoscopic removal was successful were those who presented within the first 2 hours. No morbidity or mortality occurred in any patient.
Conclusion: A conservative approach is safe in most cases of razor blade ingestion. Endoscopy may be attempted in the early period, which may reduce the need for surgery.

Keywords: Razor blade ingestion, foreign body, surgery, endoscopy, prisoner

Jilet Yutan Hastalarýn Yönetimi: Tek Merkez Deneyimi

Amaç: Bu çalýþmada, jilet yutma nedeniyle acil servise baþvuran hastalarýn tanýsý, uygulanan tedavi yöntemleri ve klinik sonuçlarýnýn ayrýntýlý olarak deðerlendirilmesi amaçlanmýþtýr.

Gereç ve Yöntem: 2021-2024 yýllarý arasýnda jilet yutma nedeniyle acil servise baþvuran ve Genel Cerrahi Kliniði’ne konsülte edilen hastalarýn hastane kayýt sistemindeki verileri retrospektif olarak incelendi. Þikayetler, demografik veriler, baþvuru süreleri, yutulan jilet sayýsý, yapýlan tetkikler, görüntüleme bulgularý, uygulanan tedavi yöntemleri, geliþen komplikasyonlar ve sonuçlar deðerlendirildi. Çalýþma tek merkezli, gözlemsel ve tanýmlayýcý nitelikte planlandý.

Bulgular: Çalýþmaya kayýtlarýna eksiksiz ulaþýlan toplam 72 hasta dahil edildi. Tüm hastalar erkek ve mahkumdu. Ortalama yaþ 31,2 yýl, ortalama baþvuru süresi 8 saat ve ortalama yutulan jilet sayýsý 1,4 idi. Görüntülemelerde jiletin mide seviyesinde izlendiði 7 (%10; bu hastalarýn tamamý ilk 6 saat içinde acile baþvuran olgulardý) hastaya endoskopi yapýldý. Ýki hastada jilet ve/veya jiletler endoskopik olarak baþarýyla çýkarýldý, beþ hastada ise mide içinde jilet saptanamadý. Cerrahi giriþim 2 (%3) hastada baþarýyla uygulanýrken, 63 (%87) hasta ayaktan konservatif gözlem ve düzenli kontrole çaðrýlarak herhangi bir giriþim yapýlmadan düzeldi. Endoskopi ile baþarýlý þekilde jilet çýkarýlan hastalar, ilk 2 saat içinde baþvuran olgulardý. Hiçbir hastada morbidite veya mortalite geliþmedi.

Sonuç: Jilet yutma olgularýnda konservatif yaklaþým çoðu zaman güvenli ve etkilidir. Uygun seçilmiþ hastalarda erken dönemde endoskopi denenebilir ve bu yaklaþým cerrahi gereksinimini anlamlý düzeyde azaltabilir. Elde edilen bulgular, özellikle mahkum popülasyonunda yabancý cisim yönetimine yönelik klinik algoritmalarýn þekillenmesine katký saðlayabilir.

Anahtar Kelimeler: Jilet yutma, yabancý cisim, cerrahi, endoskopi, mahkum