석고에 의해 생긴 위석의 내시경적 전기수압 결석쇄석술 치료 1예 = A Case of Gastric Bezoar Formed by Ingestion of Gypsum, and it was Treated Endoscopically Using Electrohydraulic Lithotripsy

다국어 초록 (Multilingual Abstract)

Gastric bezoars are collection of indigestible material in the stomach, and these can be classified into five broad categories: phytobezoar, trichobezoar, pharmacobezoar, lactobezoar and miscellaneous materials such as sand, stone and concrete (gypsum). The treatment of gastric bezoars has recently changed from surgical management to such nonsurgical interventions as enzymatic dissolution, nasogastric suctioning and endoscopic removal by polypectomy snare and basket. Up to the present, electrohydraulic lithotripsy has been a well established method for the treatment of urinary and hepatobiliary stones. We report here on a patient who had a huge gastric bezoar that was formed by the ingestion of gypsum, and this was treated with endoscopic electrohydraulic lithotripsy.

국문 초록 (Abstract)

위석은 위장관 내에서 소화되지 않는 물질을 뜻하며, 이는 그 구성성분에 따라 크게 5군으로 나누어진다. 즉 phytobezoar, trichobezoar, pharmacobezoar, lactobezoar 및 기타 물질에 의한 위석이다. 과거에는 위석의 치료가 수술적인 방법이 주로 시행되었으나, 최근의 내시경적 기술의 발달로 인해 여러 가지 소화 효소나 내시경적인 방법을 통한 비수술적 치료가 많이 시행되고 있으며, 거대 위석의 경우 여러 가지 내시경적인 방법을 통해 분쇄하여 제거하게 된다. 최근까지 전기수압 결석쇄석술은 간담도계나 요로계의 결석 치료에 사용되고 있는 방법이나, 저자들은 석고에 의한 결정성 거대 위석 환자 치료에 내시경을 통한 전기수압 결석쇄석술 등을 이용하여 성공하였기에 이를 보고한다.

참고문헌 (Reference)

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