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DOI: 10.1055/s-2007-1018371
Gastric Phytobezoar: An Endoscopic Technique for Removal
Publikationsverlauf
Publikationsdatum:
17. März 2008 (online)
Summary
Gastric bezoars, especially those of the phytobezoar type, are a rare sequela of gastroduodenal surgery or other uncommon circumstances. When they produce symptoms, removal is always necessary. In the past, treatment has shifted from surgical to non-surgical intervention, of which gastric lavage and/or slow enzymatic dissolution have been attempted. A safe, simple and rapid endoscopic method for the removal of the bezoar has previously been reported by 3 authors. With our two patients there are now ten cases of successful fragmentation of phytobezoars by this technique using a pulsating jet of water through the endoscope. This success recommends the procedure as treatment of choice, and it should be used more widely.
Key words:
Gastric bezoar - Endoscopic removal