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  • Title: Acute abdomen in mentally retarded patients: role of aerophagia. Report of nine cases.
    Author: van der Kolk MB, Bender MH, Goris RJ.
    Journal: Eur J Surg; 1999 May; 165(5):507-11. PubMed ID: 10391173.
    Abstract:
    Between 1993 and 1996 nine mentally retarded patients presented because of an acute abdomen. All had the habit of aerophagia, diagnosed previously by a general practitioner. Massive distension of the bowel led to ileus, volvulus, and necrosis. After placement of a percutaneous endoscopic gastrostomy catheter or performing a gastrostomy during laparotomy with the intention to use as a desufflator, no recurrence of the signs and symptoms of an acute abdomen were observed.
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