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Rev Esp Enferm Dig. 2019 Oct 10. doi: 10.17235/reed.2019.6400/2019. [Epub ahead of print]

Gastric phytobezoars: the therapeutic experience of 63 patients in Northern China.

Author information

1
Gastroenterology, Beijing Shijitan Hospital. Capital Medical University, China.
2
Gastroenterology, Beijing Shijitan Hospital. Capital Medical University.
3
Beijing Shijitan Hospital, Capital Medical University.
4
Gasstroenterology, Beijing Shijitan Hospital, Capital Medical University.

Abstract

INTRODUCTION:

Sixty-three patients with gastric phytobezoars were reviewed.

METHODS:

forty-eight (76.2%) patients received endoscopic combined with chemical therapies and 15 (23.8%) received only chemical therapy initially. Fifty-one (81.0%) patients achieved complete removal (only chemical therapy 14/15), while 12 (19.0%) received further endoscopic therapies.

RESULTS:

finally, 62 (98.4%) patients achieved a complete removal. Considering only patients with combined treatment as a first approach, treatment success was associated with a softer phytobezoar consistency (p = 0.023).

CONCLUSION:

in conclusion, most patients achieve a favorable outcome. Chemical therapy is useful in selected cases. Repeated endoscopic therapies may be needed in order to completely remove phytobezoars with a hard consistency.

PMID:
31599640
DOI:
10.17235/reed.2019.6400/2019
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