지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 60 - 65 (6page)
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초록· 키워드
오류제보하기
Purpose: Phytobezoar is the most common type of bezoar, which can occasionally present as an intestinal obstruction. In this study, the surgical experience and outcome in the management of intestinal obstruction caused by bezoars are described. Methods: A retrospective analysis of all operative cases of bezoars (n = 36) at Khoo Tech Puat hospital between 2011–2017 was performed. Patient demographics, imaging and operative findings, characteristics of bezoars and related morbidities were analyzed. The study population was subdivided into 2 groups based on operative intervention (fragmentation and milking of bezoars, versus enterotomy and/or bowel resection). Results: There were 36 cases of bezoars in 35 patients that were included in this study. Computed tomography scans were diagnostic of bezoars in 27 cases (75%). There were 20 cases (55.6%) that underwent fragmentation and milking of bezoars. The remaining 16 cases (44.4%) required an enterotomy or bowel resection. Bezoars that required enterotomy / bowel resection were more likely to be distally located in the ileum (75% vs 40%, p = 0.01), larger in volume (86.5 mL vs 63 mL, p = 0.04), with significant increase in morbidity rates (43.8% vs 5%, p < 0.01) compared with all other cases of bezoars. Conclusion: Risk factors for enterotomy / bowel resection in bezoar bowel obstruction include, nondiagnostic computed tomography scans, distally located, and larger volumes of bezoars. Fragmentation and milking should be attempted first as it has lower morbidity rates than enterotomy / bowel resection surgery.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Buchholz RR / 1972 / Phytobezoars following gastric surgery for duodenal ulcer / Surg Clin North Am 52(2):341~352
Granot E / 1984 / An epidermic of persimmon bezoars in Israel / Isr J Med Sci 20(2):167~169
Escamilla C / 1994 / Intestinal obstruction and bezoars / J Am Coll Surg 179(3):285~288
박소은 / 2014 / Clinical Outcomes Associated with Treatment Modalities for Gastrointestinal Bezoars / Gut and Liver 8(4):400~407
M Iwamuro / 2015 / Review of the diagnosis and management of gastrointestinal bezoars / World J Gastrointest Endosc 7(4):336~345
Granot E / 1984 / An epidermic of persimmon bezoars in Israel / Isr J Med Sci 20(2):167~169
Escamilla C / 1994 / Intestinal obstruction and bezoars / J Am Coll Surg 179(3):285~288
박소은 / 2014 / Clinical Outcomes Associated with Treatment Modalities for Gastrointestinal Bezoars / Gut and Liver 8(4):400~407
M Iwamuro / 2015 / Review of the diagnosis and management of gastrointestinal bezoars / World J Gastrointest Endosc 7(4):336~345
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