Gastrointestinal endoscopy · 2002
Persimmon bezoars: a successful combined therapy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Gayà Jaume, Barranco Lluis, Llompart Alfred, Reyes Josep, Obrador Antoni
Аннотация
BACKGROUND: Persimmon phytobezoar, although an infrequent entity, is not rare in some countries. Because of their particular features, management of diospyrobezoars is difficult. A number of surgical, endoscopic, and pharmacologic treatments have been proposed with variable success. This is a description of our experience with 10 patients with a new combination therapy.
METHODS: Ten patients (7 men, 3 women; mean age 46.4 years) were treated with a new fragmentation technique consisting of a saw-like effect with a large polypectomy snare followed by administration of cellulase, cysteine, and metoclopramide.
RESULTS: Resolution was achieved in 8 patients. Complications (intestinal obstruction) developed in 2 patients.
CONCLUSIONS: Our combined therapy is safe and highly efficacious but caution must be exercised because intestinal obstruction can occur if large fragments pass through the pylorus. A more extensive study is required to assess these clinical observations.
METHODS: Ten patients (7 men, 3 women; mean age 46.4 years) were treated with a new fragmentation technique consisting of a saw-like effect with a large polypectomy snare followed by administration of cellulase, cysteine, and metoclopramide.
RESULTS: Resolution was achieved in 8 patients. Complications (intestinal obstruction) developed in 2 patients.
CONCLUSIONS: Our combined therapy is safe and highly efficacious but caution must be exercised because intestinal obstruction can occur if large fragments pass through the pylorus. A more extensive study is required to assess these clinical observations.