{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:07Z","timestamp":1756312807172,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,15]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>The guidelines from the European and American Societies for Gastrointestinal Endoscopy discourage endoscopic retrieval of drug bags in body stuffers. However, recent evidence challenges this stance, demonstrating successful bag retrieval without fatal outcomes. We present two distinct cases illustrating varying outcomes of intervention. The first involves a 30-year-old asymptomatic man who ingested a plastic bag containing 3,4-methylenedioxymethamphetamine (MDMA). Despite initial identification and successful retrieval via upper gastrointestinal (UGI) endoscopy, the second case, a 50-year-old asymptomatic man who ingested a balloon filled with MDMA, alprazolam and lorazepam, required laparoscopic removal due to technical challenges during endoscopy. These cases prompt reconsideration of current guidelines, particularly in light of emerging literature advocating for early UGI endoscopy as a viable intervention. However, proficiency in UGI endoscopy, often necessitating additional experience beyond standard training, remains imperative for successful outcomes in such cases.<\/jats:p>","DOI":"10.1136\/bcr-2024-261016","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T22:50:20Z","timestamp":1736031020000},"page":"e261016","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic management of carefully selected asymptomatic body stuffers"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2830-9099","authenticated-orcid":false,"given":"Muhammad Akbar","family":"Baig","sequence":"first","affiliation":[{"name":"Emergency Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Nogar","sequence":"additional","affiliation":[{"name":"Emergency Medicine, NorthShore University Health System, Manhasset, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"2025082709024564000_18.1.e261016.1","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-84898-z","article-title":"Complications and hospital stay after endoscopic retrieval of drug baggies in body stuffers: an observational prospective study","volume":"11","author":"Shabani","year":"2021","journal-title":"Sci Rep"},{"key":"2025082709024564000_18.1.e261016.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.11.010"},{"key":"2025082709024564000_18.1.e261016.3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"2025082709024564000_18.1.e261016.4","doi-asserted-by":"crossref","first-page":"E443","DOI":"10.1055\/s-0042-103242","article-title":"Endoscopic retrieval of baggies in body stuffers","volume":"4","author":"Shabani","year":"2016","journal-title":"Endosc Int Open"},{"key":"2025082709024564000_18.1.e261016.5","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.gie.2016.01.048","article-title":"Adverse events after surgery for nonmalignant colon polyps are common and associated with increased length of stay and costs","volume":"84","author":"Keswani","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"2025082709024564000_18.1.e261016.6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.gie.2020.12.052","article-title":"Illicit drug packet ingestion and the ASGE clinical guideline on removal of foreign bodies","volume":"94","author":"Calello","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"2025082709024564000_18.1.e261016.7","article-title":"A Curious Case of the Persistent Body Stuffer","volume":"2019","author":"Durrani","year":"2019","journal-title":"Case Rep Emerg Med"},{"key":"2025082709024564000_18.1.e261016.8","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.gie.2021.03.059","article-title":"Response","volume":"94","author":"Thosani","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"2025082709024564000_18.1.e261016.9","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.clinimag.2021.05.012","article-title":"Body packing, body stuffing and body pushing: Characteristics and pitfalls on low-dose CT","volume":"79","author":"Puntonet","year":"2021","journal-title":"Clin Imaging"},{"key":"2025082709024564000_18.1.e261016.10","doi-asserted-by":"crossref","DOI":"10.1177\/1756284820916693","article-title":"Quality indicators in diagnostic upper gastrointestinal endoscopy","volume":"13","author":"Januszewicz","year":"2020","journal-title":"Therap Adv Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:02:57Z","timestamp":1756310577000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,4]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-261016"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261016","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}