Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars
Bezoar without gastrointestinal surgical history occurring simultaneously in the gastric and duodenal lumen is very rare. We report a case of acute pancreatitis due to duodenal obstruction caused by two large bezoars. Two large bezoars were detected in the gastric and duodenal lumen, respectively, o...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=3;spage=437;epage=439;aulast=Lee |
| _version_ | 1827861858116173824 |
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| author | Kang Won Lee Young Woo Ha Jae Min Lee Jung Wan Choe Jong Jin Hyun Hong Sik Lee |
| author_facet | Kang Won Lee Young Woo Ha Jae Min Lee Jung Wan Choe Jong Jin Hyun Hong Sik Lee |
| author_sort | Kang Won Lee |
| collection | DOAJ |
| description | Bezoar without gastrointestinal surgical history occurring simultaneously in the gastric and duodenal lumen is very rare. We report a case of acute pancreatitis due to duodenal obstruction caused by two large bezoars. Two large bezoars were detected in the gastric and duodenal lumen, respectively, on abdominal computed tomography (CT) scan and oesophagogastroduodenoscopy images. Bezoars were crushed and removed using endoscopic devices such as trapezoid basket and lithotripsy handle. After removal of bezoars, blood tests and CT follow-up tests confirmed improvement. In the case of bezoar, which causes duodenal obstruction, it is difficult to administer coke for dissolution, and if it is difficult to perform surgical approach due to old age, an endoscopic treatment using mechanical lithotripsy devices can be an alternative option. |
| first_indexed | 2024-03-12T13:45:08Z |
| format | Article |
| id | doaj.art-7a1fcb3a368d40eaba7641a5ab9a2eed |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-03-12T13:45:08Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-7a1fcb3a368d40eaba7641a5ab9a2eed2023-08-23T09:42:54ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119343743910.4103/jmas.jmas_30_22Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoarsKang Won LeeYoung Woo HaJae Min LeeJung Wan ChoeJong Jin HyunHong Sik LeeBezoar without gastrointestinal surgical history occurring simultaneously in the gastric and duodenal lumen is very rare. We report a case of acute pancreatitis due to duodenal obstruction caused by two large bezoars. Two large bezoars were detected in the gastric and duodenal lumen, respectively, on abdominal computed tomography (CT) scan and oesophagogastroduodenoscopy images. Bezoars were crushed and removed using endoscopic devices such as trapezoid basket and lithotripsy handle. After removal of bezoars, blood tests and CT follow-up tests confirmed improvement. In the case of bezoar, which causes duodenal obstruction, it is difficult to administer coke for dissolution, and if it is difficult to perform surgical approach due to old age, an endoscopic treatment using mechanical lithotripsy devices can be an alternative option.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=3;spage=437;epage=439;aulast=Leeacute pancreatitisbezoarendoscopic lithotripsytrapezoid |
| spellingShingle | Kang Won Lee Young Woo Ha Jae Min Lee Jung Wan Choe Jong Jin Hyun Hong Sik Lee Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars Journal of Minimal Access Surgery acute pancreatitis bezoar endoscopic lithotripsy trapezoid |
| title | Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| title_full | Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| title_fullStr | Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| title_full_unstemmed | Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| title_short | Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| title_sort | minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars |
| topic | acute pancreatitis bezoar endoscopic lithotripsy trapezoid |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=3;spage=437;epage=439;aulast=Lee |
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