Which method is commonly used for management of narcotics "body packers"?

Observation with plain films is commonly used for the management of narcotics "body packers." This approach involves monitoring the patient through imaging studies, specifically X-rays, to assess the number and location of drug packets within the gastrointestinal (GI) tract. Since the packets are usually made of a material designed to withstand harsh environments, they can remain intact while passing through the digestive system.

The observation method allows healthcare providers to evaluate whether the packets pose an immediate risk, such as rupture or obstruction, while minimizing unnecessary invasive procedures. Should any complications arise, such as perforation or signs of toxicity, more aggressive interventions can be considered. The use of imaging helps guide these decisions, ensuring that only those who need further intervention receive it.

In contrast, immediate surgery is typically reserved for patients who exhibit acute symptoms indicating a life-threatening condition, while endoscopic retrieval is often not used due to the risk of rupturing the packets during the procedure. Suctioning of the stomach would be inappropriate for this situation, as it is more applicable in cases of acute poisonings rather than with drug packets that are intended to pass through the GI tract.