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胃植物性胃石作为胃出口梗阻一种非常罕见的病因。

Gastric phytobezoars as a very unusual cause of gastric outlet obstruction.

作者信息

Tabesh Elham, Dehghan Amin, Tahmasebi Marzieh, Javadi Niloofar

机构信息

Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2021 Mar 31;26:25. doi: 10.4103/jrms.JRMS_115_20. eCollection 2021.

Abstract

Bezoars are collections of indigestible foreign material found in the gastrointestinal tract. Phytobezoars are the most common among the types of bezoars. Treatment of phytobezoars is categorized into four types: chemical dissolution, endoscopic removal, adjuvant prokinetics, and surgery. Complications from phytobezoars can include gastric outlet obstruction (GOO), ileus, ulcerations, gastrointestinal bleeding, and perforation. Herein, we present an 86-year-old woman with refractory postprandial vomiting. Then, exploratory laparotomy was performed and the diagnosis was gastric phytobezoar. Phytobezoars-induced GOO is rare and its diagnosis is still a challenge.

摘要

胃石是在胃肠道中发现的难消化异物聚集体。植物性胃石是胃石类型中最常见的。植物性胃石的治疗分为四种类型:化学溶解、内镜下取出、辅助促动力药物治疗和手术。植物性胃石的并发症可包括胃出口梗阻(GOO)、肠梗阻、溃疡、胃肠道出血和穿孔。在此,我们报告一名86岁患有难治性餐后呕吐的女性。随后,进行了剖腹探查术,诊断为胃植物性胃石。植物性胃石引起的胃出口梗阻很少见,其诊断仍然是一项挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09e/8240542/10685ee2708c/JRMS-26-25-g001.jpg

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