Endoscopic Removal of Small Bowel Bezoars using Colonoscopy through the Oral Approach.
- Author:
Su Jung BAIK
1
;
Ki Nam SHIM
;
Seong Eun KIM
;
Hye Kyung JUNG
;
Sung Ae JUNG
;
Kwon YOO
;
Il Hwan MOON
;
Joo Ho LEE
Author Information
1. Department of Internal Medicine, Ewha Medical Research Institute,Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Bezoar;
Intestinal obstruction
- MeSH:
Bezoars;
Colonoscopes;
Colonoscopy;
Diospyros;
Gastric Emptying;
Gastrointestinal Tract;
Humans;
Incisor;
Intestinal Obstruction;
Jejunum;
SNARE Proteins
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(4):276-279
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bezoars are accumulations of foreign materials and foods in the gastrointestinal tract and can be the cause of small bowel obstruction. A bezoar usually begins as a gastric phytobezoar that migrates to the small bowel in patients who have undergone gastric surgery and have delayed gastric emptying. We report a case of diagnosed small bowel obstruction due to the presence of a persimmon phytobezoar (diospyrobezoar) in a patient with a history of gastric surgery. Abdomen-pelvis computed tomography demonstrated the presence of an air-containing localized lesion (5x3.5 cm), a suspicious bezoar in the jejunum. The gastroduodendoscopy failed to reach to the lesion but diospyrobezoars were found in the proximal jejunum at 120 cm from the upper incisors using a colonoscope inserted using the oral approach. Most of the bezoars were fragmented by a tripod and were removed with a snare. The patient was discharged after symptomatic improvement without surgery. We report this case with a review of the relevant literature.
