职业性胃石致食管和小肠梗阻：1例报告
Esophageal and small bowel obstruction by occupational bezoar: report of a case.
作者信息
Pitiakoudis Michail, Tsaroucha Alexandra, Mimidis Konstantinos, Constantinidis Theodoros, Anagnostoulis Stavros, Stathopoulos George, Simopoulos Constantinos
机构信息
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
出版信息
BMC Gastroenterol. 2003 Jun 9;3:13. doi: 10.1186/1471-230X-3-13.
BACKGROUND
Phytobezoar may be a cause of bowel obstruction in patients with previous gastric surgery. Most bezoars are concretions of poorly digested food, which are usually formed initially in the stomach. Intestinal obstruction (esophageal and small bowel) caused by an occupational bezoar has not been reported.
CASE PRESENTATION
A 70-year old male is presented suffering from esophageal and small bowel obstruction, caused by an occupational bezoar. The patient has worked as a carpenter for 35 years. He had undergone a vagotomy and pyloroplasty 10 years earlier. The part of the bezoar, which caused the esophageal obstruction was removed during endoscopy, while the part of the small bowel was treated surgically. The patient recovered well and was discharged on the 8th postoperative day.
CONCLUSIONS
Since occupational bezoars may be a cause of intestinal obstruction (esophageal and/or small bowel), patients who have undergone a previous gastric surgery should avoid occupational exposures similar to the presented case.
背景
植物性胃石可能是既往接受过胃部手术患者发生肠梗阻的原因。大多数胃石是消化不完全的食物凝结物，通常最初在胃中形成。职业性胃石导致的肠梗阻（食管和小肠）尚未见报道。
病例介绍
一名70岁男性因职业性胃石导致食管和小肠梗阻。该患者做木匠工作35年。10年前他接受了迷走神经切断术和幽门成形术。在内镜检查期间取出了导致食管梗阻的胃石部分，而小肠部分则接受了手术治疗。患者恢复良好，术后第8天出院。
结论
由于职业性胃石可能是肠梗阻（食管和/或小肠）的一个原因，既往接受过胃部手术的患者应避免与本病例类似的职业暴露。
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