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Endoscopy 1986; 18(5): 195-196
DOI: 10.1055/s-2007-1018371
© Georg Thieme Verlag KG Stuttgart · New York

Gastric Phytobezoar: An Endoscopic Technique for Removal

V. Lange
  • Klinik für Chirurgie (Director: Prof.Dr. F.W. Schildberg), Medizinische Universität zu Lübeck, Lübeck, FRG
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Publication History

Publication Date:
17 March 2008 (online)

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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

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