Endoscopic Removal of Efferent Loop Bezoars in Postgastretomy Pateints |
Ji Hye Kim, Gwang Ha Kim, Geun Am Song, Hyeog Gyu Seoung, Min Young Oh, Jinhee Ahn, Jeong Cheon Choi |
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr |
위절제술 환자에서 발생한 수출각 위석의 내시경 제거 2예 |
김지혜, 김광하, 송근암, 성혁규, 오민영, 안진희, 최정천 |
부산대학교 의학전문대학원 내과학교실 |
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Abstract |
Efferent loop bezoars rarely occur. However when patients have a history of gastrectomy and gastrojejunal anastomosis, they are sometimes found. Small bowel obstruction by efferent loop bezoar has a mortality rate as high as 30%. Although various endoscopic procedures were reported to remove gastric bezoars, the traditional treatment option of small bowel bezoars is operative management. But as in the cases we describe here, endoscopic procedure may offer an effective alternative for efferent loop bezoars. Bezoars obstructing efferent loop were found in patients with history of gastrectomy and they were removed by endoscopy successfully. |
Key Words:
Bezoars; Efferent loop; Endoscopy; Gastrectomy |
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