Dolan P A, Thompson B W
South Med J. 1979 Dec;72(12):1527-8, 1531. doi: 10.1097/00007611-197912000-00010.
Since 1946, 20 men and one woman aged 40 to 76 years (average 57) were operated upon for complications of diospyrobezoars. Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. Twelve of 17 (70.9%) with gastric bezoars had hematemesis or melena caused by an associated gastric ulcer, while five (29.1%) had only moderate dyspepsia. In four (19.1%), the bezoar had lodged in the ileum, causing obstruction. Enzymatic therapy is indicated in those with minor symptoms. Gastrotomy or gastrotomy with bezoar removal and wedge resection of the gastric ulcer is recommended when enzymatic therapy fails, or when there is gastric outlet obstruction or marrise hemorrhage. Emergency exploration with removal is necessary when the persimmon bezoar causes ileal obstruction.
自1946年以来，有20名男性和1名女性，年龄在40至76岁之间（平均57岁），因柿石症并发症接受了手术治疗。食用柿子后不久，11人（52.4%）出现严重腹痛、恶心、呕吐和发热。17例胃柿石患者中有12例（70.9%）因合并胃溃疡出现呕血或黑便，而5例（29.1%）仅有中度消化不良。4例（19.1%）的柿石嵌顿在回肠，导致肠梗阻。症状较轻者可采用酶疗法。当酶疗法失败、出现胃出口梗阻或大出血时，建议行胃切开术或胃切开取石术并楔形切除胃溃疡。当柿石导致回肠梗阻时，必须进行急诊探查并取出。
