Oka Akihiko, Amano Yuji, Uchida Yasushi, Kagawa Kouji, Takatori Kento, Kitajima Naoto, Sonoyama Hiroki, Tada Yasumasa, Kusunoki Ryusaku, Fukuba Nobuhiko, Oshima Naoki, Moriyama Ichiro, Yuki Takafumi, Kawashima Kousaku, Ishihara Shunji, Kinoshita Yoshikazu
Second Department of Internal Medicine, Shimane University School of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 2013 Oct;110(10):1804-13.
Here we report the cases of eight patients who developed small bowel obstruction and/or gastric ulcers after ingesting rice cake, the traditional Asian food, and were managed conservatively. This report adds to the existing literature on gastrointestinal disorders induced by rice cake ingestion, which are characterized by gastrointestinal obstruction, perforation, and ulceration and are occasionally accompanied by peritonism. These conditions tend to occur in 50-60-year-old males who wear dentures or eat rapidly. Therapeutically, hard rice cake remnants in the upper gastrointestinal tract can be broken up by endoscopic snaring and can be detected by computed tomography as homogeneous high-density material at approximately 145 (range:120-206) Hounsfield units.
在此，我们报告了8例患者的病例，这些患者在食用传统亚洲食品米糕后出现小肠梗阻和/或胃溃疡，并接受了保守治疗。本报告补充了现有关于食用米糕引起的胃肠道疾病的文献，这些疾病的特征是胃肠道梗阻、穿孔和溃疡，偶尔伴有腹膜炎。这些情况往往发生在佩戴假牙或进食过快的50 - 60岁男性身上。在治疗方面，上消化道中坚硬的米糕残渣可通过内镜圈套器破碎，计算机断层扫描可将其检测为密度均匀的高密度物质，约为145（范围：120 - 206）亨氏单位。
