Novel approach to managing two enormous bezoars with successive snare-tip electrocautery: A case report
作者机构：Division of Gastroenterology and HepatologyDepartment of Internal MedicineLukang Christian HospitalChanghua 505002Taiwan Department of Emergency MedicineHsinchu Cathay General HospitalHsinchu 300029Taiwan
出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志(英文))
年 卷 期：2025年第17卷第1期
页 面：71-75页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Bezoars Electrocautery Phytobezoars Endoscopic removal Snare-tip Case report
摘 要：BACKGROUND Gastric bezoars are indigestible masses that can lead to gastrointestinal ob-struction and *** treatments include endoscopic mechanical lithotripsy with a polypectomy snare and Coca-Cola dissolution therapy or a combination of both ***,giant bezoars frequently require multiple treatment sessions and extended hospital ***,snare-based mechanical fragmentation may be limited by factors such as bezoar size,shape,density,slipperiness,and restricted working *** cases where refra-ctory giant bezoars are unresponsive to traditional methods,surgical intervention is often *** SUMMARY A 57-year-old male with a history of type 2 diabetes presented with severe epigastric pain and *** revealed two large phytobezoars and a gastric *** attempts at mechanical fragmentation with a polypectomy snare and Coca-Cola ingestion for dissolution were unsuccessful due to the large size and complex structure of the *** innovative approach using snare-tip electrocautery was then *** successfully penetrated the slippery,hard surface of the bezoars and fragmented them into smaller *** patient was subsequently treated with Coca-Cola ingestion,enzyme supplements,and proton pump *** was discharged without complications following the endoscopic *** Snare-tip electrocautery is a safe,cost-effective,and minimally invasive alter-native for managing large,refractory gastric *** is a valuable option in resource-limited settings.
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