Gastric Bezoars. A Technique of Endoscopic Removal

Overview

Journal Am J Dig Dis

Specialty Gastroenterology

Date 1978 Aug 1

PMID 685939

Citations 4

Authors

R Madsen

R M Skibba

A Galvan

C Striplin

P Scott

Affiliations

Soon will be listed here.

Abstract

Gastric bezoar formation is an uncommon sequela of gastroduodenal surgery or unusual eating habits. Because they generally produce severe symptoms, their removal is always necessary. Previously, this required surgical extirpation or slow enzymatic dissolution. We present here an endoscopic procedure for bezoar removal utilized successfully in five patients with vegetable-mucus bezoars. This technique employs a jet spray of water under direct vision to mechanically disrupt the bezoar, which may then be removed using a large gastric lavage tube. This procedure is simple, safe, and rapid and is therefore recommended as an alternative to surgical removal or enzymatic dissolution of gastric bezoars.

Citing Articles

Successful endoscopic treatment of gastric phytobezoar: A case report.

Ugenti I, Travaglio E, Lagouvardou E, Caputi Iambrenghi O, Martines G Int J Surg Case Rep. 2017; 37:45-47.

PMID: 28633127 PMC: 5479946. DOI: 10.1016/j.ijscr.2017.06.015.

Gastric phytobezoar dissolution with ingestion of diet coke and cellulase.

Kramer S, Pochapin M Gastroenterol Hepatol (N Y). 2014; 8(11):770-2.

PMID: 24672417 PMC: 3966177.

Endoscopic lithotripsy for gastric bezoars by Nd:YAG laser-ignited mini-explosive technique.

Mao Y, Qiu H, Liu Q, Lu Z, Fan K, Huang Y Lasers Med Sci. 2013; 29(3):1237-40.

PMID: 24362923 DOI: 10.1007/s10103-013-1512-1.

An intraluminal surgical approach to the management of gastric bezoars.

Filipi C, Perdikis G, Hinder R, DeMeester T, Fitzgibbons Jr R, Peters J Surg Endosc. 1995; 9(7):831-3.

PMID: 7482197 DOI: 10.1007/BF00190094.

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