无痛内镜及植物油序贯治疗老年患者十二指肠胃石并幽门梗阻1例

Sequential Treatment of Duodenogastoliths and Pyloric Obstruction by Painless Endoscopy and Vegetable Oil in an Elderly Patient: A Case Report

摘要: 巨大胃石因其形成时间长、直径大、质地硬可造成出血、穿孔、梗阻等多种并发症，老年患者由于胃肠道功能减退等多种因素，更易导致严重并发症。我们报道一例采用无痛内镜下碎石联合药物、食用油溶石等序贯疗法治疗巨大胃石崁顿十二指肠球部并幽门梗阻的老年患者病例，治疗迅速、有效。

Abstract: Huge gastric stone may cause lots of complications such as bleeding, perforation, obstruction due to its long time formation, large diameter and hard texture. And, elderly patients are more likely to cause serious complications due to various factors such as decreased gastrointestinal function. Therefore, we report a case of sequential stone therapy with painless endoscopic lithotripsy com-bined with edible oil dissolution to unincarceration of huge gastric stone wandering in the duodenal bulb which has already caused pyloric obstruction. The treatment is rapid and effective.