Back to Search
Start Over
Rice cake ileus--a rare and ethnic but important disease status in east-southern Asia.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2011; Vol. 50 (22), pp. 2737-9. Date of Electronic Publication: 2011 Nov 15. - Publication Year :
- 2011
-
Abstract
- Introduction: Rice cake is a traditional but very popular food in Asia including Japan and has never been known as a cause of ileus. Rice cake is now becoming widespread in the United States and European countries along with other Japanese foods. We may encounter rice cake ileus all over the world. This study was aimed at characterizing the rice cake ileus.<br />Methods: We consecutively encountered 14 patients with rice cake ileus from April 2003 to October 2010 in our hospital. All of the characteristics of the cases were reviewed and analyzed.<br />Results: All patients had ingested rice cake by swallowing without chewing. It has most frequently occurred in January (57.1%). The main symptoms were abdominal colicky pain (100%) and nausea (85.7%) and physical findings included abdominal tenderness (100%) and muscular defense (28.6%). All patients improved by conservative therapy including fluid supply (100%), naso-gastric tube (28.6%) and long tube (28.6%) insertion. No patient needed emergency open surgery.<br />Conclusion: Rice cake ileus which is caused by swallowing the rice cake without chewing, frequently occurs in January, has previous history of abdominal surgery and shows high density intestinal contents on CT and only needs conservative therapy. Globalism in food culture may provide a new disease entity. Therefore, we should be aware of this type of ileus and be prepared to manage it appropriately.
- Subjects :
- Aged
Aged, 80 and over
Deglutition
Digestive System Surgical Procedures adverse effects
Ethnicity
Female
Humans
Ileus diagnostic imaging
Ileus therapy
Intestinal Obstruction diagnostic imaging
Intestinal Obstruction etiology
Intestinal Obstruction therapy
Japan
Male
Mastication
Middle Aged
Postoperative Complications diagnostic imaging
Postoperative Complications etiology
Postoperative Complications therapy
Seasons
Tomography, X-Ray Computed
Ileus etiology
Oryza adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 50
- Issue :
- 22
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 22082884
- Full Text :
- https://doi.org/10.2169/internalmedicine.50.6152