检索结果-南通市图书馆

Acute pancreatitis and small bowel obstruction caused by a migratory gastric bezoar after dissolution therapy: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第13期9卷 3114-3119页

作者： Ting-Ting Wang Jia-Jun He Jun Liu Wei-Wei Chen Chao-Wu Chen Department of Gastroenterology The First Clinical Medical CollegeDalian Medical UniversityDalian 116044Liaoning ProvinceChina Endoscopy Center Department of GastroenterologyClinical Medical CollegeYangzhou UniversityYangzhou 225009Jiangsu ProvinceChina

BACKGROUND bezoars are conglomerates of indigestible foreign material that can be found in the gastrointestinal tract.Gastric ulcer,gastrointestinal perforation,and intestinal obstruction are the main complications.Acute pancreatitis secondary to bezoar is rare.Here,we present a rare case of a migratory gastric bezoar complicated by acute pancreatitis and small bowel obstruction after dissolution therapy.CASE SUMMARY A-65-year-old woman underwent gastroscopy because of epigastric pain,which revealed a huge bezoar and a gastric ulcer 10 d prior.The patient was discharged with a prescription of drinking 1 L Coca-Cola daily for 6 d,without repeat gastroscopy.However,she suddenly developed epigastric pain,nausea and vomiting for 3 d.Abdominal computed tomography(CT)revealed mild inflammation of the pancreas.Magnetic resonance cholangiopancreatography showed no abnormalities in the pancreatic duct or common bile duct.The nasogastric tube still showed drainage of more than 1.6 L of dark fluid each day after symptomatic treatment.Abdominal CT re-examination suggested intestinal obstruction.Esophagogastroduodenoscopy revealed a huge yellowish hard mass in the jejunal lumen,and we used the basket and net to fragment the bezoar.She was discharged with a good outcome.CONCLUSION Endoscopic therapy is the first choice for gastric bezoars.When mechanical disintegration cannot be achieved,timing of repeat endoscopy is important during Coca-Cola dissolution therapy.

关键词： bezoar Intestinal obstruction Acute pancreatitis Dissolution therapy Endoscopy Case report

Gastrointestinal obstruction secondary to enteral nutrition bezoar: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2020年第8期12卷 369-376页

作者： Edward David Siddens Yahya Al-Habbal Mayank Bhandari General Surgery Fiona Stanley HospitalUpper Gastrointestinal UnitPerthWestern AustraliaWA 6150Australia

BACKGROUND Post-operative enteral nutrition via gastric or jejunal feeding tubes is a common and standard practice in managing the critically ill or post-surgical patient.It has its own set of complications,including obstruction,abscess formation,necrosis,and pancreatitis.We present here a case of small bowel obstruction caused by enteral nutrition bezoar.It is the second recorded incidence of this complication after pancreaticoduodenectomy in the medical literature.CASE SUMMARY The 70-year-old female presented to our institution for a pancreaticoduodenectomy(Whipple’s procedure)for pancreatic adenocarcinoma.On day 5 post-operative,having failed to progress and developing symptoms of small bowel obstruction,she underwent a computed tomography scan,which showed features of mechanical small bowel obstruction.Following this,she underwent an emergency laparotomy and small bowel decompression.The recovery was long and protracted but,ultimately,she was discharged home.A literature search of reports from 1966-2020 was conducted in the MEDLINE database.We identified eight articles describing a total of 14 cases of small bowel obstruction secondary to enteral feed bezoar.Of those 14 cases,all but 4 occurred after upper gastrointestinal surgery;all but 1 case required further surgical intervention for deteriorating clinical picture.The postulated causes for this include pH changes,a reduction in pancreatic enzymes and gastric motility,and the use of opioid medication.CONCLUSION Enteral feed bezoar is a complication of enteral feeding.Despite rare incidence,it can cause significant morbidity and potential mortality.

关键词： Upper gastrointestinal surgery Enteral nutrition Gastrointestinal obstruction bezoar Hepatobiliary Case report

Acute esophageal obstruction after ingestion of psyllium seed husk powder:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2022年第7期10卷 2336-2340页

作者： Sujeong Shin Jung Ho Kim You Ho Mun Han Sol Chung Department of Emergency Medicine Yeungnam University School of Medicine and College of MedicineDaegu 42415South Korea

BACKGROUND bezoar is a mass of hardened external material found in the gastrointestinal(GI)tract.It may form anywhere in the GI tract,but esophageal bezoar is rare because of the short esophageal transit time.Psyllium seed husk is an indigestible natural derivative that is widely used as an herbal laxative.Herein,we report a case of acute esophageal obstruction caused by a bezoar after ingestion of psyllium seed husk powder.CASE SUMMARY A 76-year-old male with Parkinson’s disease visited the emergency department with swallowing difficulty approximately 10 h after ingesting psyllium seed husk powder.Symptoms began a few hours after ingestion and progressed to severe dysphagia.There were no abnormal findings on simple radiography.However,a computed tomography scan revealed an approximately 2.0 cm×2.5 cm mass located near the gastro-esophageal junction.After grinding,the mass was removed using an endoscopic capture net.Esophageal bezoars may cause life-threatening complications.Patients with Parkinson’s disease may have esophageal motility dysfunction,which may increase esophageal transit time.Since our patient had Parkinson’s disease,this effect may have contributed to the formation of the bezoar.CONCLUSION Attention should be paid to using bulk-laxatives,and an appropriate specified regimen will be needed when marketed as a dietary supplement.

关键词： bezoar Esophagus Obstruction Parkinson’s disease Psyllium Case report

Endoscopically managed sunflower bezoar

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Laparoscopic, Endoscopic and Robotic Surgery 2020年第2期3卷 48-51页

作者： Samih Hwalla Elias Saikaly Melissa Kyriakos Saad Ihab El Hajj Saint George Hospital University Medical Center BeirutLebanon

Rectal bezoar is rare.It is important to admit the patient with huge colorectal phytobezoars to hospital for monitoring,especially if patient needs several endoscopic trials for evacuation.We presented a case of 14-year-old male patient with phytobezoars of sunflower seed extending from the recto sigmoid junction till the anus.The patient was successfully managed with endoscopic evacuation.

关键词： bezoar Endoscopic disimpaction Colorectal surgery

Bowel intussusception caused by a percutaneously placed endoscopic gastrojejunostomy catheter: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2022年第6期14卷 621-625页

作者： Maarten WJ Winters Sjoerd Kramer Albert HA Mazairac Ewoud H Jutte Paul G van Putten Department of Gastroenterology and Hepatology Medical Center LeeuwardenLeeuwarden 8934 ADNetherlands Department of Radiology Medical Center LeeuwardenLeeuwarden 8934 ADNetherlands Department of Surgery Medical Center LeeuwardenLeeuwarden 8934 ADNetherlands

BACKGROUND In adults,bowel intussusception is a rare diagnosis and is mostly due to an organic bowel disorder.In rare cases,this is a complication of a percutaneously placed endoscopic gastro(jejunostomy)catheter.CASE SUMMARY We describe a case of a 73-year-old patient with a history of myocardial infarction,chronic idiopathic constipation and Parkinson’s disease.For the admission of his Parkinson’s medication,a percutaneous endoscopic gastrostomy with jejunal extension(PEG-J)was placed.The patient presented three times at the emergency department of the hospital with intermittent abdominal pain with nausea and vomiting.There were no distinctive abnormalities from the physical and laboratory examinations.An abdominal computed tomography scan showed a small bowel intussusception.By push endoscopy,a jejunal bezoar at the tip of the PEG-J catheter was found to be the cause of small bowel intussusception.The intussusception was resolved after removing the bezoar during push enteroscopy.CONCLUSION Endoscopic treatment of bowel intussusception caused by PEG-J catheter bezoar.

关键词： Bowel intussusception Percutaneous endoscopic gastrojejunostomy bezoar Percutaneous endoscopic gastrostomy Case report

bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2015年第33期21卷 9774-9784页

作者： Pei-Yuan Wang Xia Wang Lin zhang Hai-Fei Li Liang Chen Xu Wang bin Wang Department of Radiology Affiliated Hospital of Binzhou Medical University Department of Radiology Yantai Affiliated Hospital of Binzhou Medical University Medical Imaging Research Institute Binzhou Medical University Department of Pathology Binzhou Medical University

AIM: To determine the possible predisposing factors of bezoar-induced small bowel obstruction(b I-Sb O) and to discuss the diagnostic value of multi-slice spiral computed tomography,particularly contrast-enhanced scanning,in this condition.METHODS: A total of 35 b I-Sb O cases treated at our hospital from January 2007 to December 2013 were retrospectively analysed.Complete clinical and computed tomography(CT) data of the patients were available and confirmed by surgery.SbO was clinically diagnosed on the basis of clinical manifestations.Of the 35 patients,18 underwent abdominal and pelvic CT planar scanning with GE 64-slice spiral CT and 17 underwent abdominal and pelvic CT planar scanning with GE 64-slice spiral CT combined with contrastenhanced examination.Original images were processed using a GE ADW4.3 workstation to obtain MPR,CPR,MIP and CTA images.The images of all patients were evaluated by two abdominal imaging experts.The main analytical contents of planar scanning included intestinal bezoar conditions,changes in the intestinal wall and changes in peri-intestinal conditions.Vascular hyperaemia and arterial blood supply conditions at a specific obstruction site and the distal end of the obstruction site were evaluated through contrastenhanced examination.RESULTS: The proportion of males to females among the 35 cases was 1:1.69(13:22); median age was 63.3 years.The following cases were observed: 29(82.8%) cases occurred in autumn and winter and showed a history of consuming high amounts of persimmon and hawthorn; 19(54.3%) cases revealed a history of gastrointestinal surgery; 19 exhibited incomplete dentition,with missing partial or whole posterior teeth; 26 suffered from obstruction at the ileum.A total of 51 bezoars were found in these patients,of whom 16(45.7%) had multiple bezoars.CT planar scanning of bezoars showed lumps with mottled gas inside the intestinal cavity.Furthermore,9 cases of bezoars had envelopes and 11 cases were accompanied with thickening of the distal wall of the obstructed bowel.S

关键词： Small bowel obstruction bezoar Multi-slice compute

Gastric bezoar after Vertical Banded Gastroplasty: A Case Report and Review of the Literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2011年第5期2卷 242-245页

作者： Abdul S. Bangura Stelin Johnson Karen E. Gibbs 不详

Gastric bezoars are uncommon in the bariatric surgery population. Though popular in earlier decades, the Vertical Banded Gastroplasty (VBG) is no longer a staple procedure in the United States. It has been supplanted by the Roux-en-Y gastric bypass (RYGBP) and the laparoscopic adjustable gastric band (LAGB) as the most commonly performed bariatric procedures. However, there are many patients who have previously undergone VBGs, and may present with associated complications. We present a case of a gastric obstruction caused by a bezoar in a patient who had a VBG fifteen years prior to presentation.

关键词： Vertical Banded Gastroplasty Bariatric Surgery bezoar Obstruction

Can fruit seeds and undigested plant residuals cause acute appendicitis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Biomedicine 2011年第2期1卷 99-101页

作者： Omer Engin Mehmet Yildirim Savas Yakan Gulnihal Ay Coskun Izmir Bozyaka Training and Research Hospital Surgery Departmant Buca Seyfi Demirsoy Large State Hospital Pathology Departmant

Objective:To investigate the relation between fruit seeds,plants residuals and appendicitis. Methods:Among cases that underwent appendectomy,the appendicitis cases having fruit seeds and undigested plant residuals in their etiology were examined retrospectively.Also, histopathological features,age,sex,and parameters of morbidity and mortality were used. Results:Fruit seed was found in one case(0.05%) with presence of pus in appendix lumen, undigested plant residuals in 7 cases(0.35%).It was determined that there were appendix inflammation in 2 of the plant residuals cases,while there were obstruction and lymphoid hyperplasia in the appendix lumen of 5 cases.No mortality was observed.Conclusions:The ratio of acute appendicitis caused by plants is minimal among all appendectomised patients, but avoidence of eating undigested fruit seeds and chewing plants well may help to prevent appendicitis.

关键词： Acute appendicitis Fruit-vegetable consumption bezoar Fruit seed

Successful endoscopic resolution of a large gastric bezoar in a child

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2011年第6期3卷 129-132页

作者： Sara Azevedo Joo Lopes António Marques Paula Mourato Lucília Freitas Ana Isabel Lopes Gastrenterology Unit Pediatric DepartmentUniversity Hospital Santa Maria Gastroenterology Department University Hospital Santa Maria Gastrenterology Unit Pediatric Department University Hospital Santa MariaMedical Faculty of Lisbon

bezoars are masses or concretions of indigestible materials found in the gastrointestinal tract,usually in the stomach.Case reports of childhood gastric bezoars(particularly phytobezoars)are rare.In this age group they represent a therapeutic challenge,because of the combination of hard consistency and great size.The present report concerns an 8-year-old boy with a history of high fruit intake,presenting with abdominal complaints due to a large gastric phytobezoar.Successful endoscopic fragmentation coupled with suction removal was accomplished,using a standard-channel endoscope.Although laborious,it has been shown to be an efficacious and safe procedure,completed in one session.Endoscopic techniques for pediatric bezoar management may thus be cost effective,taking into account the avoidance ofsurgery,the length of the hospital stay and the number of endoscopic sessions.

关键词： bezoar Children Endoscopic fragmentation