Robles R, Parrilla P, Escamilla C, Lujan J A, Torralba J A, Liron R, Moreno A
Servicio de Cirugia General, Hospital Virgen de la Arrixaca, El Palmar, Murcia, Spain.
Br J Surg. 1994 Jul;81(7):1000-1. doi: 10.1002/bjs.1800810723.
Of 99 patients with 117 gastrointestinal bezoars, 69 had undergone previous surgery, the most common operation being bilateral truncal vagotomy with pyloroplasty (55 patients). An excessive intake of vegetable fibre was found in 38 patients and poor mastication in 27. Thirty bezoars presented with gastric symptoms and patients had endoscopy as the diagnostic technique; 87 caused symptoms of intestinal obstruction with the diagnosis made by plain abdominal radiography. Medical treatment by enzymic or endoscopic fragmentation was used for 17 of 30 gastric bezoars; surgery was required in the remainder. Intestinal bezoars causing obstruction can be fragmented and 'milked' to the caecum. The stomach should be explored for associated gastric bezoars.
在99例患有117个胃肠道粪石的患者中，69例曾接受过手术，最常见的手术是双侧迷走神经干切断术加幽门成形术（55例）。38例患者存在膳食纤维摄入过多的情况，27例存在咀嚼不足的情况。30个粪石表现为胃部症状，患者通过内镜检查作为诊断技术；87个导致肠梗阻症状，通过腹部平片进行诊断。30个胃粪石中有17个采用酶解或内镜破碎的药物治疗；其余患者需要手术治疗。引起梗阻的肠粪石可以破碎并“挤”入盲肠。应探查胃部是否存在相关的胃粪石。
