{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:50:30Z","timestamp":1738198230869,"version":"3.34.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Removal of cocaine pellets by endoscopy is the subject of much debate, due to the supposed risk of rupture. This study aimed to evaluate the safety of digestive endoscopic removal of cocaine pellets.<\/jats:p><jats:p>This was a single-center, observational, retrospective study conducted at the Cayenne Hospital in French Guiana from July 2015 to May 2023. We included patients in whom digestive endoscopy was performed for delayed evacuation despite conservative treatment defined by persistence of pellets on imaging from the third day of hospitalization. Endoscopy was performed only if the pellets present were at low risk of rupture (type 4 according to the classification by Pidoto in 2002). We collected demographic, imaging, endoscopic and follow-up data.<\/jats:p><jats:p>We included 111 patients, 75% of whom were male. Median age was 25 years (range, 20\u201333). Imaging was performed in 99% of cases. On imaging prior to endoscopy, pellets were found mainly in the stomach (28%), right colon (28%), left colon (30%), and sigmoid (31%). Median time to endoscopy was 3 days (range, 2.5\u20134). Median number of pellets extracted endoscopically was one (range, 1\u20134). The material used was mainly endoscopic baskets (60%). No patient presented any per or post-endoscopic complications. No pellets ruptured during extraction. There was no sign of cocaine intoxication during or after endoscopy. The success rate for pellet removal was 92% during the first endoscopy and 100% during the second endoscopy.<\/jats:p><jats:p>Endoscopic removal of micro-industrially-produced cocaine pellets seems to be a safe and effective method. Therefore, endoscopy has a place in management of these patients.<\/jats:p>","DOI":"10.1055\/a-2507-7812","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T23:54:30Z","timestamp":1734998070000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Digestive endoscopic removal of cocaine pellets: Safety evaluation"],"prefix":"10.1055","volume":"13","author":[{"given":"Alolia","family":"Aboikoni","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine B, H\u00e9pato-gastroent\u00e9rologie Pneumologie, Centre Hospitalier de Cayenne, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"Wallyn","sequence":"additional","affiliation":[{"name":"Service d'H\u00e9pato-gastroent\u00e9rologie, CHU Toulouse, Toulouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timoth\u00e9e","family":"Bonifay","sequence":"additional","affiliation":[{"name":"French Guiana, Centre Hospitalier de Cayenne, Cayenne, France"},{"name":"French Guiana, Centre d\u2019Investigation Clinique Antilles Guyane, Inserm CIC 1424, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piseth","family":"Chhorn","sequence":"additional","affiliation":[{"name":"H\u00e9pato-gastroent\u00e9rologie, Centre Hospitalier de Guingamp, Guingamp, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balandougou","family":"Sylla","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine polyvalente, Centre Hospitalier de Denain, Denain, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marthe","family":"Alogo A Nwatsok","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine B, H\u00e9pato-gastroent\u00e9rologie Pneumologie, Centre Hospitalier de Cayenne, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alix","family":"Becar","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de gastroent\u00e9rologie, Clinique Clairval, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Ngock Dime","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine B, H\u00e9pato-gastroent\u00e9rologie, Centre Hospitalier de Cayenne, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Thu Nga","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Service d'H\u00e9pato-gastrent\u00e9rologie et Nutrition, CHRU de Caen, Caen, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Fremery","sequence":"additional","affiliation":[{"name":"Service d'Acceuil des Urgences, Centre Hospitalier de Cayenne, Cayenne, France"},{"name":"Universit\u00e9 de la Guyane, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Garzelli","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventionnal Imaging, Hospices Civils de Lyon, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houari","family":"Aissaoui","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine B, H\u00e9pato-gastroent\u00e9rologie Pneumologie, Centre Hospitalier de Cayenne, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magaly","family":"Zappa","sequence":"additional","affiliation":[{"name":"Service d'imagerie m\u00e9dicale, Centre Hospitalier de Cayenne, Cayenne, France"},{"name":"universit\u00e9 de Guyane, Universit\u00e9 de la Guyane, Cayenne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Louvel","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine B, 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