دورية أكاديمية
أعرض في EDS

Endoscopic lithotripsy combined with drug lithotripsy vs. drug lithotripsy for the treatment of phytobezoars: analysis of 165 cases.

التفاصيل البيبلوغرافية
العنوان: Endoscopic lithotripsy combined with drug lithotripsy vs. drug lithotripsy for the treatment of phytobezoars: analysis of 165 cases.
المؤلفون: Zheng X; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Qiu B; Department of Oncology, Peking University Third Hospital, Beijing, 100191, China., Jin XW; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China. 13910887208@163.com., Liu LN; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Wang P; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Yu HJ; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Zhang J; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Geng WJ; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Wang R; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China., Liu H; Department of Gastroenterology, Peking University Shougang Hospital, Jinyuanzhuang 9 Road, Shijingshan District, Beijing, 100041, China.
المصدر: Surgical endoscopy [Surg Endosc] 2024 May; Vol. 38 (5), pp. 2788-2794. Date of Electronic Publication: 2024 Apr 08.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: 1992- : New York : Springer
Original Publication: [Berlin] : Springer International, c1987-
مواضيع طبية MeSH: Bezoars*/therapy , Lithotripsy*/methods, Humans ; Male ; Female ; Aged ; Middle Aged ; Retrospective Studies ; Proton Pump Inhibitors/therapeutic use ; Proton Pump Inhibitors/administration & dosage ; Treatment Outcome ; Sodium Bicarbonate/administration & dosage ; Sodium Bicarbonate/therapeutic use ; Combined Modality Therapy ; Abdominal Pain/etiology ; Abdominal Pain/therapy
مستخلص: Aim: To analyze efficacy of endoscopic lithotripsy combined with drug lithotripsy as compared with drug lithotripsy for the treatment of phytobezoars.
Methods: We collected and evaluated case records of 165 patients with phytobezoars from 2014 to 2023. And we analyzed demographic and clinical characteristics, imaging features, endoscopic features, complications of phytobezoars, and compared efficacy between endoscopic lithotripsy combined with drug lithotripsy (Group A) and drug lithotripsy (sodium bicarbonate combined with proton pump inhibitor) (Group B).
Results: The median age of patients with phytobezoars was 67.84 ± 4.286 years old. Abdominal pain was the most common symptom and peptic ulcers (67.5%) were the most common complication. Bezoar-induced ulcers were more frequent in the gastric angle. The success rate of phytobezoars vanishing in Group A and Group B were similar (92.3% vs. 85.1% within 48 h, 98.7% vs. 97.7% within a week), while the average hospitalization period, average hospitalization cost, second endoscopy rate, and average endoscopic operation time were significantly lower in patients in Group B than in Group A.
Conclusion: Drug lithotripsy is the preferred effective and safe treatment option for phytobezoars. We advise that an endoscopy should be completed after 48 h for drug lithotripsy.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
References: Robles R, Parrilla P, Escamilla C, Lujan JA, Torralba JA, Liron R, Moreno A (1994) Gastrointestinal bezoars. Br J Surg 81(7):1000–1001. https://doi.org/10.1002/bjs.1800810723. (PMID: 10.1002/bjs.18008107237922045)
Kement M, Ozlem N, Colak E, Kesmer S, Gezen C, Vural S (2012) Synergistic effect of multiple predisposing risk factors on the development of bezoars. World J Gastroenterol 18(9):960–964. https://doi.org/10.3748/wjg.v18.i9.960. (PMID: 10.3748/wjg.v18.i9.960224083563297056)
Tondreau RL, Kirklin BR (1950) Bezoars of the stomach. Surg Clin North Am 30(4):1097–1108. https://doi.org/10.1016/s0039-6109(16)33091-2. (PMID: 10.1016/s0039-6109(16)33091-215442871)
Guner A, Kahraman I, Aktas A, Kece C, Reis E (2012) Gastric outlet obstruction due to duodenal bezoar: a case report. Int J Surg Case Rep 3(11):523–525. https://doi.org/10.1016/j.ijscr.2012.07.005. (PMID: 10.1016/j.ijscr.2012.07.005228897073437390)
Akbulut S, Değer KC, Duman M, Yol S (2016) Gastric bezoars. Prz Gastroenterol. 11(1):60–61. https://doi.org/10.5114/pg.2015.55188. (PMID: 10.5114/pg.2015.55188271103154814539)
Gayà J, Barranco L, Llompart A, Reyes J, Obrador A (2002) Persimmon bezoars: a successful combined therapy. Gastrointest Endosc 55(4):581–583. https://doi.org/10.1067/mge.2002.122332 . (PMID: 11923779). (PMID: 10.1067/mge.2002.12233211923779)
Eng K, Kay M (2012) Gastrointestinal bezoars: history and current treatment paradigms. Gastroenterol Hepatol 8(11):776–778.
Park SE, Ahn JY, Jung HY, Na S, Park SJ, Lim H, Choi KS, Lee JH, Kim DH, Choi KD, Song HJ, Lee GH, Kim JH (2014) Clinical outcomes associated with treatment modalities for gastrointestinal bezoars. Gut Liver. 8(4):400–407. https://doi.org/10.5009/gnl.2014.8.4.400. (PMID: 10.5009/gnl.2014.8.4.400250719054113045)
Liu YP, Wang D, Li ZS (2016) Clinical progress of treatment in bezoar. China J Endosc 22(11):79–82.
Liu LN, Wang L, Jia SJ, Wang P (2020) Clinical features, risk factors, and endoscopic treatment of bezoars: a retrospective analysis from a single center in Northern China. Med Sci Monit 7(26):e926539. https://doi.org/10.12659/MSM.926539. (PMID: 10.12659/MSM.926539)
Khan S, Jiang K, Zhu LP, Khan IA, Ullah K, Khan S, Chen X, Wang BM (2019) Upper gastrointestinal manifestation of bezoars and the etiological factors: a literature review. Gastroenterol Res Pract 15(2019):5698532. https://doi.org/10.1155/2019/5698532. (PMID: 10.1155/2019/5698532)
Camilleri M (2007) Clinical practice diabetic gastroparesis. N Engl J Med 356(8):820–829. https://doi.org/10.1056/NEJMcp062614. (PMID: 10.1056/NEJMcp06261417314341)
Oh SH, Namgung H, Park MH, Park DG (2012) Bezoar-induced small bowel obstruction. J Korean Soc Coloproctol. 28(2):89–93. https://doi.org/10.3393/jksc.2012.28.2.89. (PMID: 10.3393/jksc.2012.28.2.89226066483349816)
Paschos KA, Chatzigeorgiadis A (2019) Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars. Ann Gastroenterol 32(3):224–232. https://doi.org/10.20524/aog.2019.0370. (PMID: 10.20524/aog.2019.0370310406196479654)
Meng Y, Luo XY, Zhou YH et al (2022) Characteristics of clinical and endoscopic findings of phytobezoars: analysis of 77 cases. Chin J Gastroenterol Hepatol 31(7):784–787.
Vats M, Ramasamy S, Neogi S, Tudu SK (2017) Ingestion of nine metallic nails with corrosive: what happened next? BMJ Case Rep. https://doi.org/10.1136/bcr-2017-222338. (PMID: 10.1136/bcr-2017-222338291672195720311)
Sun YJ, Liu BC, Cong L et al (2018) Drug and endoscopic therapy in plant gastrolith: analysis of 61 cases. Chin J Gastroenterol Hepatol 27(1):59–61.
Kannan NL, Singaraju H, Sim SW (2013) Laparoscopic-assisted removal of gastric trichobezoar: a novel technique to reduce operative complications and time. J Pediatr Surg 48(8):1826–1827. https://doi.org/10.1016/j.jpedsurg.2013.05.069 . (PMID: 23932631). (PMID: 10.1016/j.jpedsurg.2013.05.06923932631)
Lin L, Wang C, Wu J, Liu K, Liu H, Wei N, Lin W, Jiang G, Tai W, Su H (2020) Gastric phytobezoars: the therapeutic experience of 63 patients in Northern China. Rev Esp Enferm Dig 112(1):12–15. https://doi.org/10.17235/reed.2019.6400/2019 . (PMID: 31599640). (PMID: 10.17235/reed.2019.6400/201931599640)
فهرسة مساهمة: Keywords: Drug lithotripsy; Endoscopic lithotripsy; Phytobezoar; Sodium bicarbonate
المشرفين على المادة: 0 (Proton Pump Inhibitors)
8MDF5V39QO (Sodium Bicarbonate)
تواريخ الأحداث: Date Created: 20240408 Date Completed: 20240508 Latest Revision: 20240731
رمز التحديث: 20240801
DOI: 10.1007/s00464-024-10741-x
PMID: 38587640
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2218
DOI:10.1007/s00464-024-10741-x