Korean Journal of Gastrointestinal Endoscopy 2005;31(5): 328-333.
석고에 의해 생긴 위석의 내시경적 전기수압 결석쇄석술 치료 1예
박종관·김민수·김영균·서원나·김태일·박효진
연세대학교 의과대학 내과학교실
A Case of Gastric Bezoar Formed by Ingestion of Gypsum, and it was Treated Endoscopically Using Electrohydraulic Lithotripsy
Jong Kwan Park, M.D., Min Su Kim, M.D., Young Gyun Kim, M.D., Won Na Suh, M.D., Tae Il Kim, M.D. and Hyojin Park, M.D.
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
Abstract
Gastric bezoars are collection of indigestible material in the stomach, and these can be classified into five broad categories: phytobezoar, trichobezoar, pharmacobezoar, lactobezoar and miscellaneous materials such as sand, stone and concrete (gypsum). The treatment of gastric bezoars has recently changed from surgical management to such nonsurgical interventions as enzymatic dissolution, nasogastric suctioning and endoscopic removal by polypectomy snare and basket. Up to the present, electrohydraulic lithotripsy has been a well established method for the treatment of urinary and hepatobiliary stones. We report here on a patient who had a huge gastric bezoar that was formed by the ingestion of gypsum, and this was treated with endoscopic electrohydraulic lithotripsy. (Korean J Gastrointest Endosc 2005;31:328333)
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