Dergi Ara >>
Yıl:2004; Cilt: 5; Sayı: 2>> Özet
TAM METİN
Bağımlılık Dergisi; 2004;5(2):35-41
Paket vücut sendromu
N Alkan
İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Adli Tıp Anabilim Dalı
Yasadışı uyuşturucu madde kaçakçılığı, gösterdikleri bütün mücadele çabalarına rağmen emniyet birimlerince tamamen önlenememektedir. Emniyet birimlerinin mücadele yöntemleri geliştikçe ve etkinlikleri artıkça, kaçakçılar da kaçakçılığı başarabilmek için kullandıkları metotları yenileri ile değiştirmektedirler.
1970'lerden itibaren uyuşturucu madde kaçakçılığında kullanılan yeni bir yöntem ortaya çıkmıştır. Bu yöntem ile uyuşturucu maddeler vücut boşlukları içerisinde taşınarak kaçırılmaktadır. En sık kullanılan vücut boşlukları ağızdan anüse dek gastrointestinal sistem, vagen ve bazı olgularda da kulaklar olup, en sık kokain olmak üzere bazen eroin ve ender olarak da esrar kaçakçılığı yapılan uyuşturucu maddelerdir. Söz konusu yöntemde taşıyıcı kişi ile ilgili ihbar olmadıkça veya davranışlarından şüphelenilmedikçe ya da taşıdığı uyuşturucu paketinden sızarak kişide zehirlenme belirtileri ortaya çıkmadıkça kaçakçılar yakalanamamaktadır. Vücuttaki paketlerin özellikle gastrointestinal sistemdeki enzimlerin tahribatı ile patlaması ya da geçirgen hale gelmesi sonucu kişide zehirlenme belirtileri ortaya çıkmaktadır. Bu durum literatürde Paket Vücut Sendromu (Body Packer Sendrome) olarak isimlendirilmektedir. Bu derlemede ilk olarak Paket Vücut Sendromu ile ilgili temel bilgiler verilecek, akabinde ise Paket Vücut Sendromlu ve ya

şamakta olan olgularda izlenmesi gereken tedavi protokolünün prensipleri açıklanacaktır. Bu bölümü izleyen bölümde ise Paket Vücut Sendromlu ancak vefat etmiş kişilerde dikkat edilmesi gereken araştırmalar irdelenecek, o bölümü izleyen bölümde ise ülkemiz gazetelerinde konuyla ilgili yer almış olgu örnekleri sunulacaktır. Makalenin son bölümünde ise konu uyuşturucu madde kaçakçılığının güncel durumu göz önüne alınarak bu şekilde yapılacak kaçakçılığın nasıl önlenebileceği ve kimlerden şüphelenilmesi gerektiği yönlerinden incelenecektir.
Body Packer Syndrome
Despite the best efforts of the police to stop illegal drug smuggling, it cannot be entirely prevented. Smugglers change their methods and utilize new ones to overcome the improved and more effective methods used by the security forces.

Since 1970, a new method was introduced for illegal drug smuggling: Carrying the drug inside body cavities. The body cavities used mostly are the gastrointestinal system between the mouth and anus, ears and vagina. The drugs carried by this method are primarily cocaine, occasionally heroin and rarely, marijuana. Smugglers could not be captured unless someone informs the authorities about the smuggling, the smuggler behaves suspiciously, or symptoms of drug toxicity appear. Drug packages may be dissolved by the digestive activity of enzymes especially in the gastrointestinal tract, their permeability may increase resulting in drug leakage. The signs of the resulting drug toxicity is called Body Packer Syndrome.

Some general information will be given in the introduction of this article. Then, the principles of treatment of patients with Body Packer Syndrome will be explained. After that, we have attempted to review postmortem researches carried out on postmortem patients, the articles published in the international medical literature and national newspapers relating to the Body Packer Syndrome and discussed aspects of this smuggling method and important points to consider.

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