A new technique for endoscopic treatment of gastric phytobezoars: fragmentation using guidewire

Bezoars result from accumulation of indigestible materials in the gastrointestinal tract and often occur in the stomach. In this study, we evaluated the use of guidewires in patients with gastric phytobezoars (PBs) as a new method for PB removal and examined the safety of the procedure. Between Febr...

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Bibliographic Details
Published inActa gastro-enterologica belgica Vol. 77; no. 4; p. 389
Main Authors Senturk, O, Hulagu, S, Celebi, A, Korkmaz, U, Duman, A E, Dindar, G, Bozkurt, N, Yilmaz, H, Ozturkler, M, Can, B, Batman, A
Format Journal Article
LanguageEnglish
Published Belgium 01.12.2014
Subjects
Adult
Aged
Bezoars - pathology
Bezoars - therapy
Combined Modality Therapy
Enzymes - therapeutic use
Female
Gastroscopes
Gastroscopy - instrumentation
Gastroscopy - methods
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
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Summary:Bezoars result from accumulation of indigestible materials in the gastrointestinal tract and often occur in the stomach. In this study, we evaluated the use of guidewires in patients with gastric phytobezoars (PBs) as a new method for PB removal and examined the safety of the procedure. Between February 2009 and January 2013, we analyzed data from 11 patients with gastric PBs. We fitted a transparent cap to a standard endoscope (EG450WR5, Fujinon), and a 0.025 inch guidewire was passed through the standart endoscope. PBs were surrounded by a loop in the guidewire and destroyed. After 2 weeks of treatment, patients were re-evaluated for effectiveness. PB fragmentation time was 5-11 minutes. In five patients with a history of gastric surgery, we needed an additional 16-28 minutes for removal of the fragments. In six patients additionally treated with enzymatic degradation after the breaking procedure, PBs completely disappeared within 2 weeks. There were no complications during the procedure. The guidewire and fragmentation procedure for PBs is an efficient and reliable method. When combined with enzymatic degradation, PBs can be managed quickly and effectively.
ISSN:1784-3227