Nomura H, Kitamura T, Takahashi Y, Mai M
Dept. of Surgery, Cancer Research Institute Hospital, Kanazawa University, Japan.
Endoscopy. 1997 Jun;29(5):424-6. doi: 10.1055/s-2007-1004229.
A 66-year-old woman had a sudden onset of small-bowel obstruction during enzymatic treatment for gastric persimmon bezoar. Oral enzymatic therapy is the most effective method of treatment for large phytobezoars when endoscopic extraction is not possible. However, this report suggests that a further endoscopic intervention may be necessary in case the dissolved bezoars cause small-bowel obstruction during this form of therapy.
一名66岁女性在接受胃柿石酶促治疗期间突然发生小肠梗阻。当无法进行内镜取出时,口服酶促疗法是治疗大型植物性胃石最有效的方法。然而,本报告提示,若在此种治疗过程中溶解的胃石导致小肠梗阻,可能需要进一步的内镜干预。