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Giant bezoar removed by laparoscopic surgery : A case report Ryota IWASE 1,2 , Nobuo OMURA 1,2 , Toshiyuki SASAKI 1,2 , Yuki SAKASHITA 1,2 , Tsuyoshi HIRABAYASHI 1,2 , Katsuhiko YANAGA 2 1Department of Surgery, Nishisaitama-chuo National Hospital 2Department of Surgery, The Jikei University School of Medicine Keyword: 巨大胃石 , 腹腔鏡下手術 , 胃潰瘍 pp.509-514
Published Date 2017/7/15
DOI https://doi.org/10.11477/mf.4426200432
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A 73-year-old man was admitted to our hospital for epigastric pain. He had tarry stools and laboratory data included blood hemoglobin value of 8.5 g/dl. Upper gastrointestinal endoscopy demonstrated a large bezoar and multiple gastric ulcers. With the diagnosis of gastric ulcer due to a giant bezoar, he was treated with proton pump inhibitor. The bezoar was approximately 10cm in diameter and the surface was too difficult to fragment. Therefore, he underwent laparoscopic gastrotomy and bezoar removal on hospital day 20. The bezoar was grayish black and elastic soft, and measured 12×5×5 cm. He was discharged on the 13th postoperative day, and remains well without recurrence. A giant bezoar seems to be a good indication for laparoscopic surgery.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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