title: A new technique for endoscopic treatment of gastric phytobezoars: fragmentation using guidewire.
abstract: OBJECTIVE
  Bezoars result from accumulation of indigestible materials in the gastrointestinal tract and often occur in the stomach. In this study, we evaluated the use of guidewires in patients with gastric phytobezoars (PBs) as a new method for PB removal and examined the safety of the procedure.
  
  
  METHODS
  Between February 2009 and January 2013, we analyzed data from 11 patients with gastric PBs. We fitted a transparent cap to a standard endoscope (EG450WR5, Fujinon), and a 0.025 inch guidewire was passed through the standart endoscope. PBs were surrounded by a loop in the guidewire and destroyed. After 2 weeks of treatment, patients were re-evaluated for effectiveness.
  
  
  RESULTS
  PB fragmentation time was 5-11 minutes. In five patients with a history of gastric surgery, we needed an additional 16-28 minutes for removal of the fragments. In six patients additionally treated with enzymatic degradation after the breaking procedure, PBs completely disappeared within 2 weeks. There were no complications during the procedure.
  
  
  CONCLUSIONS
  The guidewire and fragmentation procedure for PBs is an efficient and reliable method. When combined with enzymatic degradation, PBs can be managed quickly and effectively.
authors: O
authors: O
authors: Senturk
authors: S
authors: S
authors: Hulagu
authors: A
authors: A
authors: Celebi
authors: U
authors: U
authors: Korkmaz
authors: A E
authors: AE
authors: Duman
authors: G
authors: G
authors: Dindar
authors: N
authors: N
authors: Bozkurt
authors: H
authors: H
authors: Yilmaz
authors: M
authors: M
authors: Ozturkler
authors: B
authors: B
authors: Can
authors: A
authors: A
authors: Batman
mesh_terms: D000328:Adult; D000368:Aged; D001630:Bezoars / Q000473:pathology* / Q000628:therapy*; D003131:Combined Modality Therapy; D057487:Enzyme Therapy; D005260:Female; D020699:Gastroscopes; D005773:Gastroscopy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D004798:Enzymes
chemical_list: D004798:Enzymes