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Gastric phytobezoars: the therapeutic experience of 63 patients in Northern China
Lin Lin1, Canghai Wang2, Jing Wu2
1Gastroenterology, Beijing Shijitan Hospital. Capital Medical University, China.
Introduction:
Sixty-three patients with gastric phytobezoars were reviewed.
Methods:
forty-eight (76.2%) patients received endoscopic combined with chemical therapies and 15 (23.8%) received only chemical therapy initially. Fifty-one (81.0%) patients achieved complete removal (only chemical therapy 14/15), while 12 (19.0%) received further endoscopic therapies.
Results:
finally, 62 (98.4%) patients achieved a complete removal. Considering only patients with combined treatment as a first approach, treatment success was associated with a softer phytobezoar consistency (p = 0.023).
Conclusion:
in conclusion, most patients achieve a favorable outcome. Chemical therapy is useful in selected cases. Repeated endoscopic therapies may be needed in order to completely remove phytobezoars with a hard consistency.
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