Korean J Gastrointest Endosc > Volume 42(4); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 232-235.
투명캡을 이용하여 치료한 위석 1예
장광표ㆍ이준ㆍ박일구ㆍ변유미ㆍ박철진ㆍ김영대ㆍ박찬국ㆍ김만우
조선대학교 의과대학 조선대학교병원 내과학교실
A Case of Gastric Bezoar Treated with a Distal Attachment Device
Kwang Pyo Jang, M.D., Jun Lee, M.D., Il Goo Park, M.D., Yu Mi Byeon, M.D., Chol Jin Park, M.D., Young Dae Kim, M.D., Chan Guk Park, M.D. and Man Woo Kim, M.D.
Department of Internal Medicine, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea
Abstract
Bezoars are collection of indigestible materials in the gastrointestinal tract. Many endoscopic techniques for removal of bezoars have been reported recently, but these methods need much equipment. We treated a gastric bezoar with a distal attachment device easily available for an endoscope. A 74-year-old man with a history of diabetes mellitus was admitted to hospital with hematemesis. On the second endoscopic examination, a gastric bezoar (6×4×4 cm) was detected in the stomach. Then, using a distal attachment device, we injected Coca-Cola directly into the bezoar by an injector. With tension force, the bezoar was easily broken due to the impulse of the distal attachment device. The endoscopic technique used in our case can be easily performed and has fewer complications compared to those of other techniques. Therefore, we report here on this new treatment modality that uses a distal attachment device. (Korean J Gastrointest Endosc 2011;42:232-235)
Key Words: Bezoar, Distal attachment, Coca-Cola
주요어: 위석, 콜라, 투명캡
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