Abstract
Until now, there still has no standard treatment option to deal with gastric bezoars. This respective study was conducted to evaluate the safety and efficiency of Nd:YAG laser-ignited mini-explosive technique for the treatment of gastric bezoars. Two hundred sixty patients with 285 gastric bezoars were treated by endoscopic lithotripsy with Nd:YAG laser-ignited mini-explosive technique. Among the 260 patients, the 284 gastric bezoars of the 259 patients completely disappeared, with the cure rate of 99.6 % after 1–2 treatments at 2–4 weeks follow-up. Only one patient, who was cured by surgery, had gastric perforation during the explosion. No intraoperative or delayed complications was found in the other 259 patients. The endoscopic lithotripsy with Nd:YAG laser-ignited mini-explosive technique is an effective, safe, and promising alternative for gastric bezoars.
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References
Andrus CH, Ponsky JL (1988) Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol 83:476–478
Blam ME, Lichtenstein GR (2000) A new endoscopic technique for the removal of gastric phytobezoars. Gastrointest Endosc 52:404–408
Muguruma N, Okamura S, Okahisa T, Yasuda M, Hayashi S, Shibata H, Ito S (1998) Electrohydraulic lithotripsy treatment for persimmon bezoars. Endoscopy 30:S60
Rinetti M, Bianchi G, Monfrino G, Prever F, Zinelli LC (1980) Enzyme dissolution of a phytobezoar in a gastreetomized subject. Endoscopy 12:90–93
Ladas SD, Kamberoglou D, Karamanolis G, Vlachogiannakos J, Zouboulis-Vafiadis I (2013) Systematic review: Coca-Cola can effectively dissolve gastric phytobezoars as a first-line treatment. Aliment Pharmacol Ther 37:169–173
Walker-Renard P (1993) Update on the medical management of phytobezoars. Am J Gastroenterol 88:1663–1666
Koulas SG, Zikos N, Charalampous C, Christodoulou K, Sakkas L, Katsamakis N (2008) Management of gastrointestinal bezoars: an analysis of 23 cases. Int Surg 93:95–98
Huang YC, Guo ZH, Gu Y, Yang JQ, Liu QC, Cheng GY, Chen HL (1990) Endoscopic lithotripsy of gastric bezoars using a laser-ignited mini-explosive device. Chin Med J (Engl) 103:152–155
Mao YP (2007) Diagnosis and treatment of gastric bezoars. Zhongguo Xiaohua Neijing 1:42–44
Robles R, Parrilla P, Escamilla C, Lujan JA, Torralba JA, Liron R, Moreno A (1994) Gastrointestinal bezoars. Br J Surg 81:1000–1001
Madsen R, Skibba RM, Galvan A, Striplin C, Scott P (1978) Gastric bezoars. A technique of endoscopic removal. Am J Dig Dis 23:717–719
Van Gossum A, Delhaye M, Cremer M (1989) Failure of non-surgical procedures to treat gastric trichobezoar. Endoscopy 21:113
Azevedo S, Lopes J, Marques A, Mourato P, Freitas L, Lopes AI (2011) Successful endoscopic resolution of a large gastric bezoar in a child. World J Gastrointest Endosc 3:129–132
Sharma D, Srivastava M, Babu R, Anand R, Rohtagi A, Thomas S (2010) Laparoscopic treatment of gastric bezoar. JSLS 14:263–267
Erzurumlu K, Malazgire Z, Bektas A, Dervisoglu A, Polat C, Senyurek G, Yetim I, Ozkan K (2005) Gastrointestinal bezoars: a retrospective analysis of 34 cases. World J Gastroenterol 11:1813–1817
Bruzzese A, Chiarini S, Marchegiani C, Corbellini L, Stella S (1997) Endoscopic fragmentation of gastric phytobezoars as a valid alternative, in selected cases, to traditional surgery. G Chir 18:485–487
Kumar P, Misra NC, Jaiswal MS, Singh AK, Chaturevedi A (1987) Phytobezoar with gastric ulcer. Indian J Gastroenterol 6:248
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This work was supported by the Beijing Municipal Natural Science Foundation (no. 4122090).
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Mao, Y., Qiu, H., Liu, Q. et al. Endoscopic lithotripsy for gastric bezoars by Nd:YAG laser-ignited mini-explosive technique. Lasers Med Sci 29, 1237–1240 (2014). https://doi.org/10.1007/s10103-013-1512-1
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DOI: https://doi.org/10.1007/s10103-013-1512-1