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Published in: World Journal of Surgery 7/2008

01-07-2008

Value of a Systematic Operative Protocol for Cocaine Body Packers

Authors: Nicolas Veyrie, Stéphane Servajean, Abdelhalim Aissat, Nicola Corigliano, Céline Angelakov, Jean-Luc Bouillot

Published in: World Journal of Surgery | Issue 7/2008

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Abstract

Background

Internal concealment of illicit drugs during international drug traffic represents an important problem in developed countries. These drug traffickers are called “body packers.” The aim of this study was to analyze retroprospectively the surgical indications and complications for cocaine body packers and to describe our systematic operative protocol.

Methods

From January 1997 to December 2005, 1,181 cocaine body packers were admitted to our Medico-Judiciary Emergency Department. All patients had the same medical surveillance protocol. Nineteen patients required surgical procedure to remove drug packets.

Results

Thirteen patients had obstruction or intestinal retention (68%). Suspicion of packet rupture or cocaine intoxication occurred in six patients (32%). Zero to three enterotomies were necessary during laparotomy. No deaths occurred. One pouch abscess required relaparotomy and one wound abscess was treated medically. The median hospital stay was 7 days (range: 5–30 days).

Conclusions

Few cocaine body packers required a laparotomy. Our systematic operative protocol allowed intestinal clearance and caused acceptable morbidity rate.
Literature
1.
go back to reference Traub SJ, Hoffman RS, Nelson LS (2003) Body packing—the internal concealment of illicit drugs. N Engl J Med 349:2519–2526PubMedCrossRef Traub SJ, Hoffman RS, Nelson LS (2003) Body packing—the internal concealment of illicit drugs. N Engl J Med 349:2519–2526PubMedCrossRef
2.
go back to reference Lancashire MJ, Legg PK, Lowe M et al. (1988) Surgical aspects of international drug smuggling. Br Med J 296:1035–1037 Lancashire MJ, Legg PK, Lowe M et al. (1988) Surgical aspects of international drug smuggling. Br Med J 296:1035–1037
3.
go back to reference McCarron MM, Wood JD (1983) The cocaine “body packer” syndrome. Diagnosis and treatment. JAMA 250:1417–1420 McCarron MM, Wood JD (1983) The cocaine “body packer” syndrome. Diagnosis and treatment. JAMA 250:1417–1420
4.
go back to reference Clement R, Fornes P, Lecomte D (2001) Le syndrome du body packer. Presse Med 30:264–267PubMed Clement R, Fornes P, Lecomte D (2001) Le syndrome du body packer. Presse Med 30:264–267PubMed
5.
go back to reference Diamant-Berger O, Gherardi R, Baud F et al. (1988) Dissimulation intracorporelle de stupéfiants. Expérience des urgences medico-judiciaires de l’Hôtel-Dieu de Paris. Presse Med 17:107–1010PubMed Diamant-Berger O, Gherardi R, Baud F et al. (1988) Dissimulation intracorporelle de stupéfiants. Expérience des urgences medico-judiciaires de l’Hôtel-Dieu de Paris. Presse Med 17:107–1010PubMed
6.
go back to reference Wetli CV, Mittlemann RE (1981) The “body packer syndrome”—toxicity following ingestion of illicit drugs packaged for transportation. J Forensic Sci 26:492–500PubMed Wetli CV, Mittlemann RE (1981) The “body packer syndrome”—toxicity following ingestion of illicit drugs packaged for transportation. J Forensic Sci 26:492–500PubMed
8.
go back to reference Fishbain DA, Wetli CV (1981) Cocaine intoxication, delirium, and death in a body packer. Ann Emerg Med 10:531–532PubMedCrossRef Fishbain DA, Wetli CV (1981) Cocaine intoxication, delirium, and death in a body packer. Ann Emerg Med 10:531–532PubMedCrossRef
9.
go back to reference Schaper A, Hofmann R, Ebbecke M et al. (2003) Kokain-body-packing.Seltene indication zur laparotomie. Chirurg 74:626–631PubMedCrossRef Schaper A, Hofmann R, Ebbecke M et al. (2003) Kokain-body-packing.Seltene indication zur laparotomie. Chirurg 74:626–631PubMedCrossRef
10.
go back to reference Bulstrode N, Banks F, Shrotria S (2002) The outcome of drug smuggling by ‘body packers”—the British experience. Ann R Coll Surg Engl 84:35–38PubMed Bulstrode N, Banks F, Shrotria S (2002) The outcome of drug smuggling by ‘body packers”—the British experience. Ann R Coll Surg Engl 84:35–38PubMed
11.
go back to reference Farmer JW, Chan SB (2003) Whole body irrigation for contraband bodypackers. J Clin Gastroenterol 37:147–150PubMedCrossRef Farmer JW, Chan SB (2003) Whole body irrigation for contraband bodypackers. J Clin Gastroenterol 37:147–150PubMedCrossRef
12.
go back to reference Hoffman RS, Smilkstein MJ, Goldfrank LR (1990) Whole bowel irrigation and the cocaine body-packer: a new approach to a common problem. Am J Emerg Med 8:523–527PubMedCrossRef Hoffman RS, Smilkstein MJ, Goldfrank LR (1990) Whole bowel irrigation and the cocaine body-packer: a new approach to a common problem. Am J Emerg Med 8:523–527PubMedCrossRef
13.
go back to reference Visser L, Stricker B, Hoogendoorn M et al. (1998) Do not give paraffin to packers. Lancet 352:1352PubMedCrossRef Visser L, Stricker B, Hoogendoorn M et al. (1998) Do not give paraffin to packers. Lancet 352:1352PubMedCrossRef
14.
go back to reference Robinson T, Birrer R, Mandava N et al. (1993) Body smuggling of illicit drugs: two cases requiring surgical intervention. Surgery 113:709–711PubMed Robinson T, Birrer R, Mandava N et al. (1993) Body smuggling of illicit drugs: two cases requiring surgical intervention. Surgery 113:709–711PubMed
15.
go back to reference Choudhary AM, Taubin H, Gupta T et al. (1998) Endoscopic removal of a cocaine packet from the stomach. J Clin Gastroenterol 27:155–156PubMedCrossRef Choudhary AM, Taubin H, Gupta T et al. (1998) Endoscopic removal of a cocaine packet from the stomach. J Clin Gastroenterol 27:155–156PubMedCrossRef
16.
go back to reference Suarez CA, Arango A, Lester JL 3rd (1977) Cocaine-condom ingestion. Surgical treatment. JAMA 238:1391–1392 Suarez CA, Arango A, Lester JL 3rd (1977) Cocaine-condom ingestion. Surgical treatment. JAMA 238:1391–1392
17.
go back to reference Caruana DS, Weinbach B, Goerg D et al. (1984) Cocaine-packet ingestion. Diagnosis, management, and natural history. Ann Intern Med 100:73–74PubMed Caruana DS, Weinbach B, Goerg D et al. (1984) Cocaine-packet ingestion. Diagnosis, management, and natural history. Ann Intern Med 100:73–74PubMed
18.
go back to reference Karkos PD, Cain AJ, White PS (2005) An unusual foreign body in the oesophagus. The body packer syndrome. Eur Arch Otorhinolaryngol 262:154–156PubMedCrossRef Karkos PD, Cain AJ, White PS (2005) An unusual foreign body in the oesophagus. The body packer syndrome. Eur Arch Otorhinolaryngol 262:154–156PubMedCrossRef
19.
go back to reference Miller JS, Hendren SK, Liscum KR (1998) Giant gastric ulcer in a body packer. J Trauma 45:617–619PubMedCrossRef Miller JS, Hendren SK, Liscum KR (1998) Giant gastric ulcer in a body packer. J Trauma 45:617–619PubMedCrossRef
20.
go back to reference Pidoto RR, Agliata AM, Bertolini R et al. (2002) A new method of packaging cocaine for international traffic and implications for the management of cocaine body packers. J Emerg Med 23:149–153PubMedCrossRef Pidoto RR, Agliata AM, Bertolini R et al. (2002) A new method of packaging cocaine for international traffic and implications for the management of cocaine body packers. J Emerg Med 23:149–153PubMedCrossRef
21.
go back to reference Heinemann A, Miyaishi S, Iwersen S et al. (1998) Body-packing as cause of unexpected sudden death. Forensic Sci Int 92:1–10PubMedCrossRef Heinemann A, Miyaishi S, Iwersen S et al. (1998) Body-packing as cause of unexpected sudden death. Forensic Sci Int 92:1–10PubMedCrossRef
22.
go back to reference Olmedo R, Nelson L, Chu J et al. (2001) Is surgical decontamination definitive treatment of “body-packers”? Am J Emerg Med 19:593–596PubMedCrossRef Olmedo R, Nelson L, Chu J et al. (2001) Is surgical decontamination definitive treatment of “body-packers”? Am J Emerg Med 19:593–596PubMedCrossRef
23.
go back to reference Van Geloven AA, Van Lienden KP, Gouma DJ (2002) Bodypacking—an increasing problem in the Netherlands: conservative or surgical treatment? Eur J Surg 168:404–409PubMedCrossRef Van Geloven AA, Van Lienden KP, Gouma DJ (2002) Bodypacking—an increasing problem in the Netherlands: conservative or surgical treatment? Eur J Surg 168:404–409PubMedCrossRef
24.
go back to reference de Prost N, Lefebvre A, Questel F et al. (2005) Prognosis of cocaine body-packers. Intensive Care Med 31:955–958PubMedCrossRef de Prost N, Lefebvre A, Questel F et al. (2005) Prognosis of cocaine body-packers. Intensive Care Med 31:955–958PubMedCrossRef
Metadata
Title
Value of a Systematic Operative Protocol for Cocaine Body Packers
Authors
Nicolas Veyrie
Stéphane Servajean
Abdelhalim Aissat
Nicola Corigliano
Céline Angelakov
Jean-Luc Bouillot
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 7/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-007-9432-5

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