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Gastric phytobezoar: endoscopic removal using the gallstone lithotripter.
H J Lübke1, R S Winkelmann, W Berges
1Department of Internal Medicine, University Hospital, Düsseldorf.
Zeitschrift Fur Gastroenterologie
|August 1, 1988
Summary
Gastric bezoars, a complication of stomach surgery, can be hard to treat. Perendoscopic lithotripsy offers a new method for breaking up firm gastric phytobezoars.
Area of Science:
- Gastroenterology
- Surgical Complications
- Endoscopic Procedures
Background:
- Gastric bezoars are a recognized complication following gastric surgery.
- Treatment of large or firm gastric bezoars can present significant challenges.
Observation:
- A patient presented with a firm gastric phytobezoar 20 years post-gastric surgery (suspected vagotomy and pyloroplasty).
- Traditional treatment methods for such bezoars were considered difficult.
Findings:
- This report details the successful removal of a firm gastric phytobezoar using perendoscopic lithotripsy.
- This represents the first documented use of lithotripsy via endoscope for gastric phytobezoar removal.
Implications:
- Perendoscopic lithotripsy is proposed as a viable alternative treatment for firm and large gastric bezoars.
- This technique may offer a less invasive option for managing complex gastric bezoar cases.