Dev gastrik bezoar olgu yönetimi

Öz

Gastrik bezoar, sindirilmeyen kitlelerin birikmesidir. Hastalar genellikle karın ağrısı, şişkinlik, mide bulantısı ve kusmayı içeren mide çıkışının engellenme belirtileri ile başvururlar. 61 yaşında erkek hasta, midede dolgunluk, erken doyma, hazımsızlık şikayetleri ile başvurdu. Hastanın yapılan endoskopisinde 10x3 cm boyutlarında, korpusu dolduran, bezoar ile uyumlu lezyon tespit edildi. Bezoar, göbek üstü median insizyonla anterior duvar gastrostomisi yoluyla laparatomik olarak çıkarıldı.

Anahtar Kelimeler

• Gatrtik bezoar
• laparatomi
• endoskopi

Giant gastrıc bezoar case management

Öz

Gastric bezoar is the accumulation of undigested masses. Patients typically present with symptoms of gastric outlet obstruction, including abdominal pain, bloating, nausea, and vomiting. A 61-year-old male patient presented with complaints of stomach fullness, early satiety, and indigestion. An endoscopy revealed a lesion compatible with a bezoar, measuring 10x3 cm, filling the corpus of the stomach. The bezoar was laparotomically removed through an upper median incision with an anterior wall gastros-tomy.

Anahtar Kelimeler

• Gastric bezoar
• laparotomy
• endoscopy

Kaynakça

1. 1. Nirasawa Y, Mori T, Ito Y, et al. Laparoscopic removal of a large gastric trichobezoar. Journal of pediatric surgery 1998;33(4), 663-665.
2. 2. Palanivelu C, Rangarajan M, Senthilkumar R, Madan-kumar MV. Trichobezoars in the stomach and ileum and their laparoscopy-assisted removal: a bizarre case. Singa-pore Med J, 2007;48(2), e37-9.
3. 3. Rabie ME, Arishi AR, Khan ,et al. Rapunzel syndrome: the unsuspected culprit. World journal of gastroentero-logy: 2008; 14(7), 1141.
4. 4. Lin CS, Tung CF, Peng Y, et al. Successful treatment with a combination of endoscopic injection and irriga-tion with coca cola for gastric bezoar-induced gastric outlet obstruction. Journal of the Chinese Medical Asso-ciation,2008; 71(1), 49-52.
5. 5. O'sullivan MJ, McGreal G, Walsh JG, Redmond HP Trichobezoar. Journal of the Royal Society of Medicine, 2001;94(2), 68-70.
6. 6. Song KY, Choi BJ, Kim SN, Park CH. Laparoscopic removal of gastric bezoar. Surgical Laparoscopy Endos-copy & Percutaneous Techniques, 2007;17(1), 42-44.
7. 7. Yao CC, Wong HH, Chen, et al. Laparosopic removal of large gastric phytobezoars. Surgical Laparoscopy En-doscopy & Percutaneous Techniques, 2000;10(4), 243-245.
8. 8.Shami SB, Jararaa AA, Hamade A, Ammori BJ. Lapa-roscopic removal of a huge gastric trichobezoar in a pati-ent with trichotillomania. Surgical Laparoscopy Endos-copy & Percutaneous Techniques,2007; 17(3), 197-200.

9. 9. Yau KK, Siu WT, Law BKB, et al. Laparoscopic appro-ach compared with conventional open approach for be-zoar-induced small-bowel obstruction. Archives of Sur-gery, 2005;140(10), 972-975.
10. 10. Meyer-Rochow GY, Grunewald B. Laparoscopic removal of a gastric trichobezoar in a pregnant woman. Surgical Laparoscopy Endoscopy & Percutaneous Tech-niques,2007;17(2), 129-132.
11. 11. Dai Q, Jiang FA huge gastric bezoar treated by traditi-onal Chinese medicine purgative: a case report. Medicine, 2018;97(50).
12. 12. Qin X, Chen J, Liang M. Overview of TCM treatment of gastric bezaors. Asia-Pac Trad Med, 2017;13, 61-4.
13. 13. Grande G, Manno M, Zulli C, et al. An alternative endoscopic treatment for massive gastric bezoars: Ho:YAG laser fragmentation. Endoscopy. 2016;48 Suppl 1:E217. doi: 10.1055/s-0042-109057. Epub 2016 Jun 16. PMID: 27310895.
14. 14. Khan S, Khan IA, Ullah K, et al. Etiological aspects of intragastric bezoars and its associations to the gastric function implications: A case report and a literature review. Medicine (Baltimore). 2018 Jul;97(27):e11320. doi: 10.1097/MD.0000000000011320