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KMID : 0931320100100020049
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대한상부위장관.헬리코박터학회지
2010 Volume.10 No. 2 p.49 ~ p.54
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Clinical Characteristics of Gastric Bezoars
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Lee Sang-Jin
Cheon Gab-Jin
Oh Woong-Sik
Yoon Jeong-Ho
Park Jong-Kyu
Han Koon-Hee
Kim Young-Don
Jeong Woo-Jin
Kwon Seong-Chun
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Abstract
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Background/Aims: The purpose of this study was to review cases of gastric bezoars and evaluate the role of endoscopic removal of gastric bezoars.
Methods: Between January 2000 and December 2009, the medical records of patients with gastric bezoars were reviewed retrospectively.
Results: A total of 23 patients were enrolled. The median age was 64 (40∼85) years, with 13 female and 10 male. Fourteen patients (60.7%) had epigastric pain and 12 patients (52%) had concurrent ulcer. Three patients had concurrent bezoars in ileum. Migration of gastric bezoars was observed in three patients (13%). Fifteen patients (65.2%) were treated by endoscopic removal, 6 patients (26%) by surgical intervention and 2 patients by spontaneous passage. Fifty percent (5/10) patients were treated by endoscopic removal in the first half of the study period, but 77% (10/13) patients were treated by endoscopic removal in the second half. Age, gender, symptom duration, combined ulcer, size and number of bezoars were not significantly different between surgical and endoscopic group. Only duration of hospital stay was significantly different.
Conclusions: Gastric bezoars are marked by epigastric pain, combined ulcer, concurrent small bowel bezoars and migration into small bowel. These may be taken into consideration when endoscopic removal is plamed.
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KEYWORD
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Bezoars, Stomach, Gastroscopy, Surgery
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