Caustic ingestion continues to be a worldwide problem in young children and adults with suicidal intent. In developing countries its incidence is still high. In the majority of the patients, it involves the esophagus and stomach. We report a young patient who presented with acute corrosive ingestion and developed pancreatitis after 10 days of ingestion. She responded to conservative treatment. At 3 weeks she developed duodenal stricture and underwent feeding jejunostomy.
Authors:Katalin Varga, Zsófia Varga, and Gábor Fritúz
This case report describes the way psychological support based on positive suggestions (PSBPS) was added to the traditional somatic treatment of an acute pancreatitis 36-year-old male patient. Psychological support based on positive suggestions (PSBPS) is a new adjunct therapeutic tool focused on applying suggestive techniques in medical settings. The suggestive techniques usually applied with critically ill patients are based on a number of pre-prepared scripts like future orientation, reframing, positivity, supporting autonomy, etc., and other, very unique and personalized interventions, which are exemplified with verbatim quotations. We describe the way several problems during treatment of intensive care unit (ICU) patients were solved using suggestive methods: uncooperativeness, difficulties of weaning, building up enteral nutrition, supporting recovery motivation, and so on, which permanently facilitated the patient's medical state: the elimination of gastrointestinal bleeding, recovery of the skin on the abdomen, etc. Medical effects follow-up data at 10 months show that the patient recovered and soon returned to his original work following discharge.