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KMID : 0359020080370040276
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 4 p.276 ~ p.279
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Endoscopic Removal of Small Bowel Bezoars using Colonoscopy through the Oral Approach
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Baik Su-Jung
Shim Ki-Nam
Jung Sung-Ae
Yoo Kwon
Lee Joo-Ho
Moon Il-Hwan
Kim Seong-Eun
Jung Hye-Kyung
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Abstract
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Bezoars are accumulations of foreign materials and foods in the gastrointestinal tract and can be the cause of small bowel obstruction. A bezoar usually begins as a gastric phytobezoar that migrates to the small bowel in patients who have undergone gastric surgery and have delayed gastric emptying. We report a case of diagnosed small bowel obstruction due to the presence of a persimmon phytobezoar (diospyrobezoar) in a patient with a history of gastric surgery. Abdomen-pelvis computed tomography demonstrated the presence of an air-containing localized lesion (5×3.5
cm), a suspicious bezoar in the jejunum. The gastroduodendoscopy failed to reach to the lesion but diospyrobezoars were found in the proximal jejunum at 120 cm from the upper incisors using a colonoscope inserted using the oral approach. Most of the bezoars were fragmented by a tripod and were removed with a snare. The patient was discharged after symptomatic improvement without surgery. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2008; 37:276-279)
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KEYWORD
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Bezoar, Intestinal obstruction
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