摘要
Bezoar is a concretion in gastrointestinal tract. There were eight cases we collected in past seven years. The age range was from 18 days to 73 years old. There were four phytobezoars, 2 concretions and 2 of unknown nature. According to the location, there were three cases in stomach, four in ileum and one case concomitantly in the stomach and duodenal bulb. In upper G-I series of the cases of the gastric bezoars, we might observe a movable mass in the stomach and chronic gastric ulcer at gastric angle or antrum. In the cases of intestinal bezoars, we found an intraluminal mass with dilatation of proximal intestine in small bowel barium meal study. Avoiding consumption of persimmons and citrus fruit can decrease the incidence of phytobezoars.
關鍵字
無資料並列摘要
毛糞石是一種在消化道中發生的凝固物，依其組成性質可身為毛髮性毛糞石，植物性毛糞石及凝塊。我們自民國六十年十一月至六十七年八月間共收集毛糞石八病例。年齡分布自十八天到七十三歲，以五十至六十歲發生病例最多。有四例是植物性毛糞石，二例是凝塊，另有二例成份不明。依發生部位而言，在胃中有三例，在廻腸有四例，另一例同時發生於胃及十二指腸球部。毛糞石發生於胃時，臨床上可見上腹部疼痛，體重減輕，腹瀉及嘔吐等症狀。毛糞石發生於小腸的臨床症狀包括腹痛、腹脹、嘔吐、黑便及可摸到硬塊。胃中的毛糞石可引起胃潰瘍，有的胃潰瘍可以口服制酸劑而痊癒，如是有長期病史的病人於放射線學上消化道檢查是，胃潰瘍會被誤認為惡性潰瘍。毛糞石的放射線學直接徵象是於上消化檢查見到可移動的凝固物，於小腸檢查時可見到腸管中有凝固物。吃柿子是一般人引起植物性毛糞石的主要原因。於接受過胃手術及迷走神經切除術的人，吃柑桔類水果是引起毛糞石的主因。現在嬰兒以奶粉餵食非常普遍。乳塊堆積於消化道中可引起腸阻塞。奶粉調配太濃必需避免。毛糞石的治療原則是及早取出毛糞石。