Clinical Outcomes Associated with Treatment Modalities for Gastrointestinal Bezoars
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Background/Aims: With technical and instrumental advances,the endoscopic removal of bezoars is now more commonthan conventional surgical removal. We investigated theclinical outcomes in a patient cohort with gastrointestinal bezoarsremoved using different treatment modalities. Methods: Between June 1989 and March 2012, 93 patients withgastrointestinal bezoars underwent endoscopic or surgicalprocedures at the Asan Medical Center. These patients weredivided into endoscopic (n=39) and surgical (n=54) treatmentgroups in accordance with the initial treatment modality. The clinical feature and outcomes of these two groupswere analyzed retrospectively. Results: The median followupperiod was 13 months (interquartile range [IQR], 0 to 77months) in 93 patients with a median age of 60 years (IQR,50 to 73 years). Among the initial symptoms, abdominal painwas the most common chief complaint (72.1%). The bezoarswere commonly located in the stomach (82.1%) in the endoscopictreatment group and in the small bowel (66.7%) in thesurgical treatment group. The success rates of endoscopicand surgical treatment were 89.7% and 98.1%, and the complicationrates were 12.8% and 33.3%, respectively. Conclusions:Endoscopic removal of a gastrointestinal bezoar is aneffective treatment modality; however, surgical removal isneeded in some cases.
Abstract
Background/Aims: With technical and instrumental advances,the endoscopic removal of bezoars is now more commonthan conventional surgical removal. We investigated theclinical outcomes in a patient cohort with gastrointestinal bezoarsremoved using different treatment modalities. Methods: Between June 1989 and March 2012, 93 patients withgastrointestinal bezoars underwent endoscopic or surgicalprocedures at the Asan Medical Center. These patients weredivided into endoscopic (n=39) and surgical (n=54) treatmentgroups in accordance with the initial treatment modality. The clinical feature and outcomes of these two groupswere analyzed retrospectively. Results: The median followupperiod was 13 months (interquartile range [IQR], 0 to 77months) in 93 patients with a median age of 60 years (IQR,50 to 73 years). Among the initial symptoms, abdominal painwas the most common chief complaint (72.1%). The bezoarswere commonly located in the stomach (82.1%) in the endoscopictreatment group and in the small bowel (66.7%) in thesurgical treatment group. The success rates of endoscopicand surgical treatment were 89.7% and 98.1%, and the complicationrates were 12.8% and 33.3%, respectively. Conclusions:Endoscopic removal of a gastrointestinal bezoar is aneffective treatment modality; however, surgical removal isneeded in some cases.
참고문헌 (27)
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