JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (8): 104-106.doi: 10.6040/j.issn.1671-7554.0.2017.366

Previous Articles     Next Articles

Phytobezoar-induced small-bowel obstruction successfully treated with single-balloon enteroscopy: a case report

MA Tian, LIU Guanqun, YU Yanbo, LI Yanqing, ZUO Xiuli   

  1. Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2017-04-27 Online:2017-08-10 Published:2017-08-10

Abstract: Bezoars are not rare in northern China, especially in autumn and winter. Bezoar-induced small-bowel obstruction accounts for 4% cases of bowel obstruction. To our knowledge, only a few cases have been treated with balloon-assisted enteroscopy, and some have failed because of postoperative re-obstruction. In this paper, by introducing a case with phytobezoar-induced small-bowel obstruction successfully treated with single-balloon enteroscopy, we intend to show the procedures of endoscopic treatment and introduce our experience to prevent re-obstruction. Enteroscopy, an effective, safe, convenient and minimal invasive approach, can substitute surgery in the treatment of phytobezoar-induced small-bowel obstruction.

Key words: Phytobezoar, Small-bowel obstruction, Single-balloon enteroscopy

CLC Number: 

  • R574
[1] Wang PY, Wang X, Zhang L, et al. Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography[J]. World J Gastroenterol, 2015, 21(33): 9774-9784.
[2] Iwamuro M, Okada H, Matsueda K, et al. Review of the diagnosis and management of gastrointestinal bezoars[J]. World J Gastrointest Endosc, 2015, 7(4): 336-345.
[3] 汤淼, 文丽彬. 胃石1例并文献复习[J]. 江西医药, 2008, 43(4): 306-307.
[4] 张丹丹, 宋芳, 张丽, 等. 植物性胃石形成的动物实验研究[J]. 临床荟萃, 2014, 29(4): 414-416, 423. ZHANG Dandan, SONG Fang, ZHANG Li, et al. Development of gastric phytobezoars in animal study[J]. Clinical Focus, 2014, 29(4): 414-416, 423.
[5] 王革丽. 35例植物性胃石临床治疗观察[J]. 中国实用医药, 2015, 10(1): 63-64.
[6] Shah D, Desai AB. Isolated ileal bezoar causing small bowel obstruction[J]. BMJ Case Rep, 2012, pii: bcr0120125656. doi: 10.1136/bcr.01.2012.5656.
[7] 张旭辉, 陈晓荣, 张珊珊,等. MSCT对肠石性肠梗阻的诊断[J]. 放射学实践, 2014, 29(10): 1191-1193. ZHANG Xuhui, CHEN Xiaorong, ZHANG Shanshan, et al. Value of MSCT in the diagnosis of intestinal obstruction due to enterolith[J]. Radiol Practice, 2014, 29(10): 1191-1193.
[8] 谭炜, 戈之铮. 小肠镜在小肠疾病治疗中的最新研究进展[J]. 胃肠病学, 2011, 16(12): 751-754. TAN Wei, GE Zhizheng. Advances in study on enteroscopy for treatment of small bowel disorders[J]. Chin J Gastroenterol, 2011, 16(12): 751-754.
[9] Yang JE, Ahn JY, Kim GA, et al. A large-sized phytobezoar located on the rare site of the gastrointestinal tract[J]. Clin Endosc, 2013, 46(4): 399-402.
[10] Qin B, Wan XL, Guo XY, et al. Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach[J]. BMJ Case Rep, 2014. pii: bcr2014204966. doi: 10.1136/bcr-2014-204966.
[11] Chou JW, Lai HC. Obstructing small bowel phytobezoar successfully treated with an endoscopic fragmentation using double-balloon enteroscopy[J]. Clin Gastroenterol Hepatol, 2009, 7(9): e51-52. doi: 10.1016/j.cgh.2009.03.026.
[12] Ishioka M, Jin M, Matsuhashi T, et al. True primary enterolith treated by balloon-assisted enteroscopy[J]. Intern Med, 2015, 54(19): 2439-2442.
[13] Lai TP, Yang CW, Siaop FY, et al. Calcium polystyrene sulfonate bezoar in the ileum: diagnosis and treatment with double-balloon endoscopy[J]. Endoscopy, 2013, 45(S02): E 378-379.
[14] Saita M, Maekawa H, Sato K, et al. A case of small bowel obstruction caused by bezoars diagnosed with double balloon enteroscopy[J]. Case Rep Gastrointest Med, 2012, 2012: 185489. doi: 10.1155/2012/185489.
[15] Chang CW, Chang CW, Wang HY, et al. Intermittent small-bowel obstruction due to a mobile bezoar diagnosed with single-balloon enteroscopy[J]. Endoscopy, 2011, 43(S02): 297.
[16] Osada T, Shibuya T, Kodani T, et al. Obstructing small bowel bezoars due to an agar diet: diagnosis using double balloon enteroscopy[J]. Intern Med, 2008, 47(7): 617-620.
[1] ZHANG Hongbin, ZHAO Hanhui, WANG Suxia, ZHOU Peng, HE Qingqing, WANG Yanqun, DING Weiping, LIU Gang. Perioperative observation and postoperative risk factors of severe hypocalcemia after parathyroidectomy: a report of 303 cases [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 14-20.
[2] Qiang WU,Zekun HE,Ju LIU,Xiaomeng CUI,Shuang SUN,Wei SHI. A research on multi-modal MRI analysis based on machine learning for brain glioma [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 81-87.
[3] Ju LIU,Qiang WU,Luyue YU,Fengming LIN. Brain tumor image segmentation based on deep learning techniques [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 42-49, 73.
[4] Yilong YIN,Xiaoming XI,Xianjing MENG. Intelligent diagnosis methods of Alzheimer's disease [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 14-21.
[5] . [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 120-122.
[6] Wei ZHANG,Wenhao TAN,Yibin LI. Locmotion control of quadruped robot based on deep reinforcement learning: review and prospect [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 61-66.
[7] JIA Jiajing, WANG Zhiping. Effects of high exposure of endogenous reproductive hormones on perimenopausal and postmenopausal blood pressure in rats [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 7-14.
[8] WANG Tiantian, CHEN Jie. Expression and clinical significance of EFEMP2 in endometrial cancer tissues and cell [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(10): 52-58.
[9] ZHAO Li, LI Lixiang, CHEN Feixue, ZUO Xiuli, LI Yanqing. Effect of Bacillus subtilis gavage on the intestinal microbiota of mice [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(10): 28-35.
[10] YIN Lei, YIN Rui, LI Wenjia, LIU Shuai, L(¨overU)Jiaju. CYLD improves bladder cancer gemcitabine chemosensitivity via suppressing autophagy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 1-6.
[11] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 107-109.
[12] ZHANG Wenxue, XU Lidong, ZHANG Mingming, GUO Chuanguo, ZUO Xiuli. NR2B contributes to visceral hypersensitivity in irritable bowel syndrome via mBDNF [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 17-22.
[13] WANG Meng, WANG Cheng, ZHANG Yingchun, LI Jie, SUN Xiao, SHI Dandan, SHANG Mengmeng, NING Song. Evaluation and analysis of the physical factors for the twinkling artifact: a preliminary study [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 110-114.
[14] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 129-130.
[15] ZHANG Luan, CHEN Ou, LUAN Yun, ZHU Xiaobo, CHEN Yuan, WANG Yibiao. Effects of gemigliptin on the therapeutic effect and inflammatory factors of monocrotaline-induced pulmonary arterial hypertension in rats [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 19-22.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!