Hakoda Akitoshi, Takayama Kazuki, Sasaki Shun, Mori Yosuke, Tanaka Hironiri, Sugawara Noriaki, Iwatsubo Taro, Ota Kazuhiro, Nishikawa Hiroki
Second Department of Internal Medicine Osaka Medical and Pharmaceutical University Osaka Japan.
DEN Open. 2024 Sep 16;5(1):e70012. doi: 10.1002/deo2.70012. eCollection 2025 Apr.
A 55-year-old man with a history of distal gastrectomy was admitted to our hospital due to gastrointestinal bleeding from an anastomotic ulcer. After endoscopic hemostasis, his oral intake resumed after 1 day of fasting; however, he could not ingest food because of early satiety and nausea on the fifth day of oral intake resumption. Esophagogastroduodenoscopy was performed again to investigate the cause of anorexia and revealed a massive gastrolithiasis that was not observed in the previous esophagogastroduodenoscopy, which was diagnosed as the cause of his anorexia. Gastrolithiasis was treated with endoscopic removal the day after diagnosis, and the patient was discharged from the hospital after his symptoms resolved. Herein, we report the case of a patient with gastrolithiasis that developed and proliferated within 5 days.
一名有远端胃切除术病史的55岁男性因吻合口溃疡导致胃肠道出血入院。内镜止血后，禁食1天后恢复经口进食；然而，在恢复经口进食的第5天，他因早饱感和恶心而无法摄入食物。再次进行食管胃十二指肠镜检查以探究厌食的原因，结果发现了巨大胃石，这在之前的食管胃十二指肠镜检查中未被观察到，诊断其为厌食的原因。胃石在诊断后第二天通过内镜下取出进行治疗，症状缓解后患者出院。在此，我们报告一例胃石在5天内形成并增大的病例。
