Journal of Gastrointestinal & Digestive System
Open Access

Abstract

Phytobezoar (PBZ) is mainly composed of fibred food, commonly formed and found in stomach and can be treated with various methods. In low-resource settings such as Vietnam, the choice of treatment is strongly depended on its cost, efficacy and availability. Our retrospective study was on 97 patients with PBZ by endoscopic fragment with â�?�?modified snareâ�? from 2013 to March 2016 at Bach Mai National Hospital. The instrument that we created to cut the masses dominates the existing trademark ones with adjustable loop diameter and low cost, moreover it is simple and easy to use. It includes a thin metal string and a small flexible plastic tube going through working channel. Each patient has a profile containing relevant data. After the mass removal, patients were re-checked by endoscopy in one day and followed-up in one week. In the study, female accounted for 59%. PBZ locations found were stomach (74%), duodenum (21%) and jejunum (5%); masses in the two later positions caused obstruction; mean (SD) dimensions of the conglomeration were 4.6 (1.6) x 3.9 (1.2) x 3.3 (1.2) cm. The successful cases with one and two/three endoscopic sessions accounted for 96% and 4% respectively. Mean cost of the â�?�?modified snareâ�? for each patient is $2 (1-5). Average time for each session was 30 (15-60) minutes. There were two complicated cases including one jejunum obstruction due to the fragged masses and one gastric mucosal incision. To conclude, this method is safe and costeffective for PBZ elimination.

Biography

Email: kieutuanbm@gmail.com