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Gastric Bezoars: A Retrospective Analysis of 44 Cases
1Department of Gastroenterology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Gastric bezoars, often phytobezoars, are linked to ulcers. Endoscopic therapy combined with oral treatment effectively removes gastric bezoars, with most patients needing only one procedure.
Area of Science:
- Gastroenterology
- Endoscopy
- Digestive Diseases
Background:
- Gastric bezoars are uncommon, necessitating a review of their clinical and endoscopic aspects.
- Understanding patient characteristics and treatment outcomes is crucial for managing this condition.
Purpose of the Study:
- To summarize the clinical characteristics and endoscopic features of gastric bezoar patients.
- To analyze the effectiveness of endoscopic treatment for gastric bezoars.
Main Methods:
- Retrospective review of 44 gastric bezoar patients treated between September 2017 and December 2023.
- Analysis of patient demographics, symptoms, endoscopic findings (ulcers), and treatment outcomes.
Main Results:
- Phytobezoars were the most common type. Abdominal pain was the primary symptom.
- Ulcers were present in 81.8% of patients, primarily at the gastric angle and antrum.
- Endoscopic therapy achieved complete clearance in 30 patients, with an average of 1.27 interventions. A follow-up endoscopy around 4 days post-treatment is recommended.
Conclusions:
- Phytobezoars are the most frequent gastric bezoars, often associated with gastric ulcers.
- Endoscopic therapy, alongside oral treatment, is an effective strategy for gastric bezoar management.
- Most patients achieve successful outcomes with a single endoscopic treatment session.
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