Korean J Gastrointest Endosc > Volume 34(2); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(2): 88-93.
위내 거대 위석의 아르곤 플라즈마를 이용한 내시경 분쇄제거 치료 1예
하병욱 · 김지훈 · 서영탁 · 김미진 · 함영환 · 배상수 · 주형준
홍익병원 내과
A Case of Huge Gastric Phytobezoar Removed by Endoscope using Argon Plasma
Byung Wook Ha, M.D., Ji Hoon Kim, M.D., Young Tak Seo, M.D., Mi Jin Kim, M.D., Young Hwan Ham, M.D., Sang Su Bae, M.D. and Hyung Jun Chu, M.D.
Department of Internal Medicine, Hong Ik General Hospital, Seoul, Korea
Bezoars are persistent concretions of indigestible material that are usually found in the stomach. With the significant development of endoscopic techniques, many authors have reported the removal of bezoars using methods such as endoscopic forceps, snares, electrohydraulic lithotripsy, laser. However, there are no reports of using argon plasma to remove a bezoar in Korea. Argon plasma coagulation is a non-contact electrosurgical technique, which is an inexpensive, easily learned, and effective method in gastrointestinal endoscopy. In addition, this method is associated with a decreased risk of perforation and tissue damage by maintaining a controllable depth of coagulation. We report a 71-year-old man with a 11×11×8 cm sized huge gastric phytobezoar found by endoscopy. The bezoar was broken into pieces using the argon plasma coagulator. Endoscopic forceps and a basket were then used to crush and extract its fragments. The bezoar was removed safely without any complications. We report this case with a review of the relevant literature.
Key Words: Bezoar, Endoscope, Argon plasma
주요어: 위석, 내시경, 아르곤 플라즈마
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