Korean Journal of Gastrointestinal Endoscopy 1985;5(1): 41-44.
췌장 지방분해효소로 치료한 지방위석 2예 ( The Successful Dissolution of 2 Cases of Fat Bezoars by Pancreatic Lipase )
심규식, 정인식, 이창돈, 정진민, 이영석, 선희식, 정환국 (Kyu Sik Shim, In Sik Chung, Jin Min Chung, Chang Don Lee, Yong Suk Lee, Hee Sik Sun and Whan Kook Chung)
Abstract
Gastric bezoars are large masses or concretions, composed with plant fiber, hair and miscellaneous foreign bodies, found in the stomach and occur usually as sequele of gastric surgery. We experienced 2 cases of fat bezoars which developed after drinking of melted beef fst. They had postprandial epigastric fullness and pain, those were relieved on supine and left recumbent position. Upper gastrointestinal series showed a large movable mass in the stomach in hoth cases. On gastrofibercopic examination, a large egg sized white bezoar was cordirmed in both cases and a gastrie ulcer at antrum associated in one case. In attempt to removal of the bezoars, we tried to break them, but failed because of its character. The patients were treated with pancreatic lipase containg digestives, Pancreon-F and Azintal. From one day after this treatment, symptoms were completely relieved. Five days later, we confirmed disappearance of bezoars by gastrofiberscopy. and upper gastrointestinal barium
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