• Maryam Alfa-Wali, Angela Atinga, Matthew Tanham, Qamar Iqbal, Aw-Yong Meng, and Yasser Mohsen.
• Department of Surgery, Hillingdon Hospital, London, UK. m.alfa-wali@imperial.ac.uk.
• ANZ J Surg. 2016 Oct 1; 86 (10): 821-825.

BackgroundThe constant need for rapid financial gain drives the international illegal drug industry, which encourages healthy individuals to smuggle drugs through internal concealment. The aim of this study was to evaluate our practice of the management of body packers using a hospital-based protocol in order to validate it.MethodsElectronic hospital data were retrospectively reviewed between 2000 and 2013 of all patients that were admitted to Hillingdon Hospital with a history of internal drug concealment. Demographic as well as clinical data including investigations and management were collected.ResultsOne hundred and twenty patients were admitted over the study period to our surgical unit. This included 86 male and 34 female patients with a mean age of 38 (range 19-64) years. Three per cent (n = 4) underwent surgery for either cocaine toxicity or obstruction. The rest of the patients were managed conservatively with bowel cleansing preparations to encourage the natural passage of drug packages.ConclusionConservative treatment is safe and effective for drug body packers. We therefore recommend conservative management to be the mainstay for body packers with surgery only being indicated on clinical grounds.© 2015 Royal Australasian College of Surgeons.

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