Observation of the effect of comprehensive internal medical treatment including gastric endoscopy on patients with bezoar
10.3760/cma.j.issn.1008?6315.2018.02.011
- VernacularTitle:以内镜为主的内科综合治疗对胃石患者的效果观察
- Author:
Weiping TAI
1
;
Wu LIN
;
Nan WEI
;
Guojun JIANG
;
Hong LIU
;
Canghai WANG
;
Hui SU
;
Kuiliang LIU
;
Mingming MENG
;
Jing WU
Author Information
1. 100038,首都医科大学附属北京世纪坛医院消化内科
- Keywords:
Bezoar;
Gastroscope;
Sodium bicarbonate;
Coca?Cola
- From:
Clinical Medicine of China
2018;34(2):146-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of comprehensive internal medical treatment including gastric endoscopy on patients with bezoar. Methods From 2010 to 2016,a retrospective study was conducted on fifty?two patients admitted to Beijing Shijitan Hospital, Capital Medical University. Results The main accompanying diseases were hypertension,coronary heart disease,diabetes mellitus and so on. Food that are easy to induce bezoar : banana, persimmon, hawthorn, chestnut, etc. The treatment included endoscopic treatment, intravenous proton pump suppression, and oral Coca?Cola and bicarbonate solution. The bezoar in two patients after 3 weeks of medical treatment were still not dissolved,finally surgery were performed. One patient's pathology showed early cardiac adenocarcinoma. Five patients had incomplete intestinal obstruction, after fasting and gastrointestinal decompression, and the bezoars were excreted through feces. All patients were cured without death. Conclusion Gastroscopy is a timely treatment that can help diagnose and treat gastric bezoar. The main predisposing factors include hypertension, coronary heart disease, diabetes mellitus and so on. Endoscopic treatment,intravenous proton pump inhibitor,sodium bicarbonate and Coca?Cola could dissolve most bezoar. We should be alert to the possibility of early cancer.
