Clinical Outcomes Associated with Treatment Modalities for Gastrointestinal Bezoars |
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Authors: | So-Eun Park Ji Yong Ahn Hwoon-Yong Jung Shin Na Se Jeong Park Hyun Lim Kwi-Sook Choi Jeong Hoon Lee Do Hoon Kim Kee Don Choi Ho June Song Gin Hyug Lee Jin-Ho Kim |
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Institution: | Department of Gastroenterology and Asan Digestive Disease Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
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Abstract: | Background/AimsWith technical and instrumental advances, the endoscopic removal of bezoars is now more common than conventional surgical removal. We investigated the clinical outcomes in a patient cohort with gastrointestinal bezoars removed using different treatment modalities.MethodsBetween June 1989 and March 2012, 93 patients with gastrointestinal bezoars underwent endoscopic or surgical procedures at the Asan Medical Center. These patients were divided into endoscopic (n=39) and surgical (n=54) treatment groups in accordance with the initial treatment modality. The clinical feature and outcomes of these two groups were analyzed retrospectively.ResultsThe median follow-up period was 13 months (interquartile range IQR], 0 to 77 months) in 93 patients with a median age of 60 years (IQR, 50 to 73 years). Among the initial symptoms, abdominal pain was the most common chief complaint (72.1%). The bezoars were commonly located in the stomach (82.1%) in the endoscopic treatment group and in the small bowel (66.7%) in the surgical treatment group. The success rates of endoscopic and surgical treatment were 89.7% and 98.1%, and the complication rates were 12.8% and 33.3%, respectively.ConclusionsEndoscopic removal of a gastrointestinal bezoar is an effective treatment modality; however, surgical removal is needed in some cases. |
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Keywords: | Bezoars Endoscopy Surgery |
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