Phytobezoars removal with a simple and cost-effective method: report of 97 cases

1. <<Abstract No: APDW2017-
ONL0000>>
Title: Phytobezoars removal with a simple and cost-effective method: report of 97 cases
Authors: Kieu Van Tuan [1], Do Anh Giang [1], Tran Viet Hung [1], Nguyen Anh Duong [1], Pham Thi Van Ngoc [1]
Affiliation: [1] Department of Functional Examination, Bach Mai National Hospital, Hanoi, Vietnam.
Choices of treatment: gastric lavage,
enzymatic dissolution, endoscopic disruption,
endoscopic procedures, lavage, conventional
and videolaparoscopic surgery
Our method: Endoscopic removal with “modified snare”.
• 97 cases
• Functional Exmaination Dept, Bach Mai hospital
• 2013 - March 2016

2. Method and Intruments
Adjustable diameter loop
The sequence of mass fragment with the “modified snares”

3. Result
Risk factors and coincidental
diseases (n=97)
n %
Gastrectomy history 10 10,3%
Diabetes mellitus 20 20.6%
Dental problem/chewing
difficulty
13 13.4%
Persimmon intakes 42 43.3%
Baby bamboo intakes 15 15.5%
n %
Number of BZ
1
2
3
>3
74
14
5
4
76.29
14.43
5.15
4.13
Location of BZ
Stomach
Duodenum
jejunum
72
20
5
74.2
20.6
5.2
Average time of each session 30 (15 – 63)
minutes
The average number of “snare”
needed for each patient
4 (2-10) pieces
The average cost for each patient $2 (1 - 5)
Number of endoscopic session
1
2
n
94
3
%
96.91
3.09
Complication
Mucosal tear
Obstruction
n
1
1
%
1.03
1.03
Table 1. Risk factors and coincidental diseases
Table 2. Benzoar findings
Table 3. Result of the endoscopic procedure

4. Conclusion
▪ Bezoar formation: in normal and abnormal gastrointestinal
anatomy and physiology.
▪ Gastrectomy, diabetes mellitus and high intake of fibre: the
important risk factors
▪ PBZ: different locations, colors, sizes. Assocation with ulcer.
▪ Treatment with endoscopic “modified snares”: low cost,
safe and effective.