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Obstructing Small Bowel Phytobezoar Successfully Treated With an Endoscopic Fragmentation Using Double-Balloon Enteroscopy
Clinical Gastroenterology and Hepatology , 09/04/09

Chou JW et al. – A 68–year–old woman presented to hospital because of a 3–day history of epigastric pain and bilious vomiting. She had undergone a pyloroplasty for perforated peptic ulcer 15 years previously and a hysterectomy for uterine myoma 10 years previously. An attempt to remove the phytobezoar using an electrosurgical snare and a Dormia basket resulted in fragmentation of the phytobezoar. The fragmented phytobezoars were able to move back and forth in the bowel lumen after partial endoscopic fragmentation. Follow–up small bowel series performed 2 days later revealed no evidence of intestinal obstruction.

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