Korean Journal of Gastrointestinal Endoscopy 1996;16(4): 658-665.
증례 : 식도 위장관 ; 소장 폐색을 보였던 위석 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Small Intestinal Obstruction Due to a Fragment of Gastric Phytobezoar )
민영일, 정훈용, 양석균, 박효숙, 이기만, 홍원선, 김현숙, 장재원 (Young Il Min, Hwoon Yong Jung, Suk Kyun Yang, Hyo Sook Park, Ki Man Lee, Weon Seon Hong, Hyun Sook Kim and Jai Won Chang)
Abstract
Phytobezoar is rare disease in the stomach and small bowel of the patient without underlying previous gastroenterologic pathology. Because it usually occurs secondarily to peptic ulcer surgery, poor mastication, diabetes mellitus, hypothyroidism and connetive tissue disease. In morden medicine, phytobezoars found in the stomach and/or intestines in humans, are known to be associated with considerable morbidity and even mortality. Patients with gastric bezoar present with chronic postprandial epigastic pain, nausea, and vomitihg. It is diagnosed by endoscopic examination or radiologic study and treated by surgical removal or non-surgical methods including conservative treatment, enzymatic dissolution, and endoscopic removal. We have experienced a case of small intestinal obstruction due to a fragment of gastric bezoar of the patient without underlying etiologic cause. So we report the case with a brief review of literatures. (Korean J Gastrointest Endosc 16: 658-668, 1996)