علاج متلازمة الحلقة الواردة مع انسداد داخل اللمعة الحميد بسبب الفيتوبيزوار أو حصوة الأمعاء

References

DOI: 10.5009/gnl220205

• Migration of the phytobezoar into the afferent loop may result in obstruction.
• Enteral stasis causes bacterial overgrowth and leads to bile salt precipitation, resulting in enterolith formation and afferent loop obstruction.
• This obstruction can be relieved by endoscopic retrieval of the phytobezoar using a snare or retrieval net, or by fragmentation–either mechanically or by using electrohydraulic lithotripsy.
• Both endoscopic basket retrieval and endoscopic electrohydraulic lithotripsy are effective means in removing enteroliths.
• Technical success was excellent, with phytobezoar fragmentation and clearance in 100% of patients.