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소장 폐색의 위석을 금속 스텐트 삽입 및 압박하여 제거

Removal of a Small Bowel Bezoar Causing Bowel Obstruction via Mechanical Compression after Metal Stent Placement

대한내과학회지 2021년 96권 1호 p.53 ~ 58
최만기, 정영주, 홍승권,
소속 상세정보
최만기 ( Choi Man-Ki ) - 안양샘병원 내과
정영주 ( Jeong Yeong-Joo ) - SAM Anyang Hospital Department of Internal Medicine
홍승권 ( Hong Seung-Goun ) - SAM Anyang Hospital Department of Internal Medicine

Abstract


Small bowel obstructions (SBOs) that develop for various reasons often require prompt medical treatment. Migration of a gastric bezoar (indigestible foreign material that has accumulated in the stomach) is a rare cause of SBO. Treatment of a symptomatic SBO caused by a bezoar requires a multidisciplinary approach that considers the patient’s physical status and comorbidities and the bezoar volume, location, and pathology. Although surgery is the treatment of choice, endoscopic treatments such as fragmentation and retrieval may serve as alternatives. We present the first case of resolution of a large phytobezoar via mechanical compression after covered metal stent insertion, followed by stent retrieval, in a patient with a symptomatic SBO that persisted even after two sessions of push-endoscopic fragmentation.

키워드

소장; 위석; 금속 스텐트, 피막형
Small bowel; Phytobezoar; Covered metal stent

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