• Title/Summary/Keyword: Gastric bezoar

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New Surgical Approach for Gastric Bezoar: "Hybrid Access Surgery" Combined Intragastric and Single Port Surgery

  • Son, Tae-Il;Inaba, Kazuki;Woo, Yang-Hee;Pak, Kyung-Ho;Hyung, Woo-Jin;Noh, Sung-Hoon
    • Journal of Gastric Cancer
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    • v.11 no.4
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    • pp.230-233
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    • 2011
  • Regarding the removal of a gastric bezoar, laparoscopic surgery was performed and it was shown that the laparoscopic approach is safe and feasible. However, the laparoscopic method has the risk of intraabdominal contamination, when the gastric bezoar is retrieved from the gastric lumen in the peritoneal cavity. We developed and applied a new procedure for the removal of the gastric bezoar using one surgical glove and two wound retractors as a fashion of intragastric single port surgery. Herein we present this new minimal invasive procedure, so named "hybrid access surgery" which involves the use of existing devices and overcomes the weakness of laparoscopic removal of the gastric bezoar. Our new procedure, combining the concept of intragastric and single port access, is acceptable and feasible to retrieve the gastric bezoar. In the future, this procedure may be one of the alternative procedures for retrieving gastric bezoar even when it is incarcerated in the pylorus.

A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection (코카콜라 주입 치료를 병용하여 내시경으로 분쇄 치료한 거대 위석 1예)

  • Jung, Min Suk;Lee, Jang Won;Lee, Seung Hyun;Kim, Dong Hyun;Byun, Sang Hwan;Kim, Yeong Muk
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.62-65
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    • 2013
  • Gastric bezoars are concretion of undigested material in the gastrointestinal tract. In the past, gastric bezoars were generally treated with surgical management. Recently, the efficacy of oral intake or endoscopic injection therapy with Coca-Cola has been reported. We report a case of a 47-year-old-man with huge gastric bezoar ($4{\times}2.5$ cm) that was successfully removed by endoscopic fragmentation with Coca-Cola injection. Compared with a single endoscopic fragmentation therapy, the combination therapy with Coca-Cola injection shortened the procedure time and reduced the complication associated with fragmented bezoar.

Gastric Phytobezoar Treated by Oral Intake and Endoscopic Injection of Coca-Cola (코카 콜라 경구 투여와 내시경적 주입법을 이용한 위석의 치료 1 예)

  • Moon, Hee-Jung;Lee, Sang-Hoon;Lee, Jun-Young;Kim, Dong-Hee;Lee, Ji-Eun;Yang, Chang-Hun;Eun, Jong-Ryul;Kim, Tae-Nyeun;Lee, Heon-Ju;Jang, Byung-Ik
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.247-251
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    • 2006
  • Bezoars are collections or concretions of indigestible foreign material that accumulate and coalesce in the gastrointestinal tract; they usually occur in patients who have undergone gastric surgery and have delayed gastric emptying. Treatment options include dissolution with enzymes, endoscopic fragmentation with removal or aspiration, and surgery. Recently, the efficacy of nasogastric lavage or endoscopic infusion of Coca-Cola for the dissolution of phytobezoar have been reported. We report a case of phytobezoar successfully treated by oral administration and endoscopic injection of Coca-Cola. A 62-year-old woman was referred to Yeungnam University Hospital for epigastric pain. Upper gastrointestinal endoscopy revealed one very large, dark-greenish, solid bezoar in the stomach with gastric ulcer and duodenal bulb deformity. We performed endoscopic injection of Coca-Cola into the bezoar. The patient was instructed to drink four liters of Coca-Cola per day. At endoscopy two days later, the phytobezoar was easily broken into pieces. At endoscopy on the $11^{th}$ day of admission, the phytobezoar was decreased in size and removed by endoscopic fragmentation with a polypectomy snare. At follow up endoscopy after 13 days, the bezoar was completely dissolved.

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Laparoscopic Surgery for Removal of the Multiple Large Gastric Bezoars

  • Hong, Tae-Ho;Kim, Jin-Jo;Park, Seung-Man
    • Journal of Gastric Cancer
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    • v.10 no.2
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    • pp.84-86
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    • 2010
  • Bezoars are retained concretions of undigested animal or vegetable material that can produce gastrointestinal obstruction, ulceration, and bleeding. Therapeutic options for gastric bezoars include enzyme therapy (papain, cellulase, or acetylcysteine), endoscopic disruption and removal, and surgical removal. Multiple large gastric bezoars generally require conventional surgical management through an upper abdominal incision. With the recent improvement of laparoscopy, a lot of portions of abdominal operations have been performed laparoscopically. We successfully removed multiple large gastric phytobezoars in a 52-year-old female completely through laparoscopy. This supported the feasibility of laparoscopic surgery for patients with gastric bezoars.

Stomach Bezoar Caused by Heavy Intake of Staples in an Alaskan Malamute (알라스칸 말라무트에서 Staple 다량 이식례)

  • 송창현;배재성;양정훈;이문학;진희경;엄기동;장광호
    • Journal of Veterinary Clinics
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    • v.21 no.3
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    • pp.323-325
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    • 2004
  • A 5-month old female Alaskan Malamute was referred to Veterinary Teaching Hospital, College of Veterinary Medicine, Kyungpook National University because of accidental ingestion of a box of staples. Clinical signs included anorexia, hematemesis, panting and depression. An aggregation of staples of 5 cm in diameter in the stomach, 4 pieces of staple in the small intestine and approximately 20 pieces in the rectum were identified in radiographic examination. A mass of staples in the stomach was removed surgically and some staples in the intestine passed without impediment through the gastrointestinal tract.