{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T23:40:22Z","timestamp":1652312422418},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Berichtet wird \u00fcber 8 Patientinnen mit einer Pers\u00f6nlichkeitsst\u00f6rung vom Borderline-Typ, die zwischen 2-mal und 38-mal zur endoskopischen Entfernung ingestierter Fremdk\u00f6rper aus dem oberen Verdauungstrakt vorgestellt wurden. In einem Zeitraum von 3 Jahren konnten somit bei 143 Endoskopien insgesamt 265 Fremdk\u00f6rper geborgen wurden. Zahlenm\u00e4\u00dfig dominierten abgebrochene Teel\u00f6ffel- und Essl\u00f6ffelstiele sowie Porzellanscherben. Unter Einsatz von Polypektomieschlingen, Fangnetzen, Fasszangen und Dormiak\u00f6rbchen gelang die Fremdk\u00f6rperextraktion nahezu immer und ohne Komplikationen. Lediglich im Fall eines zwischen Magenfundus und -antrum eingekeilten Messers musste operiert werden. In Abh\u00e4ngigkeit von der Art und Zahl der Fremdk\u00f6rper, der erwarteten Schwierigkeit des Bergungsman\u00f6vers und der berichteten N\u00fcchternphase wurden etwa 40% der Endoskopien unter Schutzintubation vorgenommen. Trotz des erheblichen personellen und materiellen Aufwands favorisieren die meisten Gastroenterologen, Psychiater und Chirurgen die wiederholte Fremdk\u00f6rperentfernung auch bei repetitiver Ingestion.<\/jats:p>","DOI":"10.1055\/a-1644-1823","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T01:42:47Z","timestamp":1637804567000},"page":"779-783","source":"Crossref","is-referenced-by-count":0,"title":["Ingestion von Fremdk\u00f6rpern bei jungen Patienten mit Pers\u00f6nlichkeitsst\u00f6rung vom Borderline-Typ"],"prefix":"10.1055","volume":"60","author":[{"given":"Wolfgang","family":"Scheppach","sequence":"additional","affiliation":[{"name":"Medizinische Klinik mit Schwerpunkt Gastroenterologie\/Rheumatologie, Standort Juliusspital, Klinikum W\u00fcrzburg Mitte, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Hauschild","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Seelische 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Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"Reissmann","sequence":"additional","affiliation":[{"name":"Medizinische Klinik mit Schwerpunkt Gastroenterologie\/Rheumatologie, Standort Juliusspital, Klinikum W\u00fcrzburg Mitte, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1001\/jamapsychiatry.2018.1109","article-title":"Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial","volume":"75","author":"E McCauley","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref2","first-page":"1","article-title":"Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline","volume":"48","author":"M 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