内镜诊治胃石症32例体会

Therapeutic methods of gastric bezoar in 32 patients by gastroscope

回顾经胃镜下诊疗的32例胃石症患者的临床资料,分析胃石症的病因,以及用异物钳、圈套器、多点注射碳酸氢钠等治疗方法。结果发现,32例患者均有进食鞣酸类食物史。胃镜下胃石症诊断明确,镜下碎石成功率为100%。1周后复查胃镜28例胃石完全消失,4例2周后复查胃镜胃石完全消失。无近期和远期并发症。我们认为,食物种类是形成胃石主要因素。电子胃镜不仅是诊断胃石最直接的方法,而且胃镜下行胃石内注射碳酸氢钠联合圈套器勒扎碎石,方法简便,安全,费用低,治疗效果好。

The clinical data of 32 cases with gastric bezoar confirmed by endoscopy was analyzed retrospectively. The patients were treated under gastroscope by means of penta-claw grasping forceps, polypectomy snare, or muhipoint injection of 5% Sodium Bicarbonate solution. We found that all 32 patients had tannic acid-rich-food, and food types were the major affecting factors for gastric bezoar. All bezoars were broken into pieces, 28 and 4 cases were negative endoscopy in 1 and 2 weeks respectively, without complications. It is one of most effective and safe manipulation of gastric bezoar with injection of 5% Sodium Bicarbonate solution, combination with the forceps and snare.