Clinical observation on 5 cases of small intestinal bezoars with obstruction treated by oral double-balloon enteroscopy
10.3760/cma.j.cn321463-20231117-00074
- VernacularTitle:经口双气囊小肠镜圈套碎石治疗5例小肠结石伴梗阻的临床观察
- Author:
Liangliang SHI
1
;
Zhengchao LI
;
Shuling HUANG
;
Jing GE
;
Yuqin TONG
;
Yiyang ZHANG
Author Information
1. 南京大学医学院附属鼓楼医院消化内科，南京 210008
- Keywords:
Bezoars;
Intestinal obstruction;
Lithotripsy;
Double-balloon enteroscopy
- From:
Chinese Journal of Digestive Endoscopy
2024;41(6):484-486
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the safety and efficacy of oral double-balloon enteroscopy for small intestinal bezoars with obstruction, the clinical, endoscopic, imaging, pathological and surgical data of patients with small intestinal bezoars and obstruction treated in Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from December 2021 to March 2023 were retrospectively analyzed. A total of 5 patients, all female, aged 52-83 years, were included. The clinical manifestation was mainly digestive tract obstruction. The diameter of bezoars was 30-50 mm. Three were located in the jejunum, one in the proximal ileum, and one at the jejuno-ileal junction. Three cases were diagnosed as having small intestinal bezoars by imaging examination before operation. All 5 patients achieved technical success. Four patients achieved clinical success, the symptoms of obstruction were completely relieved, and 1 patient was partially relieved due to malignant obstruction. No obvious complication occurred in 5 patients after operation. The follow-up time was 15-790 days, and there was no recurrence. The results showed that oral double-balloon enteroscopy for small intestinal bezoars was safe and effective, providing a new treatment for patients with small intestinal bezoars except for surgery.
