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ID 55207
JaLCDOI
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著者
Iwamuro, Masaya Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences ORCID Kaken ID researchmap
Tanaka, Shouichi Department of Gastroenterology, Iwakuni Clinical Center
Moritou, Yuki Department of Gastroenterology, Mitoyo General Hospital
Inaba, Tomoki Department of Gastroenterology, Kagawa Prefectural Central Hospital
Higashi, Reiji Department of Internal Medicine, Hiroshima City Hospital
Kusumoto, Chiaki Department of Gastroenterology, Nippon Kokan Fukuyama Hospital
Yunoki, Naoko hDepartment of Internal Medicine, Akaiwa Medical Association Hospital
Ishikawa, Shin Ishikawa Ichouka Clinic
Okamoto, Yuko Department of Internal Medicine, Ibara City Hospital
Kawai, Yoshinari Department of Gastroenterology, Onomichi Municipal Hospital
Kitada, Ken-ichi Department of Hepatology, Kurashiki Medical Center
Takenaka, Ryuta Department of Internal Medicine, Tsuyama Central Hospital
Toyokawa, Tatsuya Department of Gastroenterology, Fukuyama Medical Center
Okada, Hiroyuki Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences Kaken ID researchmap
抄録
 Most gastric bezoars can be treated with endoscopic fragmentation combined with or without cola dissolution, whereas laparotomy or laparoscopic surgery is generally inevitable for small intestinal bezoars because they cause small bowel obstruction. Therefore, early diagnosis and management of gastric bezoars are necessary to prevent bezoar-induced ileus. To investigate the incidence of overlooked gastric bezoars during the initial esophagogastroduodenoscopy, we retrospectively reviewed the cases of 27 patients diagnosed with gastrointestinal bezoars. The bezoars were diagnosed using esophagogastroduodenoscopy (n=25), abdominal ultrasonography (n=1), and barium follow-through examination (n=1). Bezoars were overlooked in 9/25 patients (36.0%) during the initial endoscopy examination because the bezoars were covered with debris in the stomach. Of the 9 patients, 8 had concomitant gastric ulcers, and the other patient had gastric lymphoma. Although a computed tomography (CT) scan was performed before the second-look endoscopy in 8 of the 9 patients, the bezoars were mistaken as food debris on CT findings and were overlooked in these patients. In conclusion, gastric bezoars may not be discovered during the initial esophagogastroduodenoscopy and CT scan. In cases with debris in the stomach, second-look endoscopy is essential to detect bezoars.
キーワード
bezoar
gastric ulcer
foreign bodies
phytobezoar
Amo Type
Original Article
発行日
2017-06
出版物タイトル
Acta Medica Okayama
71巻
3号
出版者
Okayama University Medical School
開始ページ
241
終了ページ
247
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID