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World J Gastroenterol. Dec 28, 2014; 20(48): 18503-18506
Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18503
Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18503
''Sandwich'' treatment for diospyrobezoar intestinal obstruction: A case report
Yi-Xiong Zheng, Liang Hu, Li Chen, Department of Gastrointestinal Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Pankaj Prasoon, Department of Hepato-Biliary-Pancreatic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Yan Chen, Department of Gastrointestinal Medicine, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zheng YX and Prasoon P contributed equally to the writing of this case report; Chen Y performed the endoscopical procedure; Hu L and Chen L collected and analyzed the data.
Supported by Projects of Administration of Traditional Chinese Medicine of Zhejiang Province, No. 2012ZA084
Correspondence to: Li Chen, MD, PhD, Department of Gastrointestinal Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. chenli_hz@yahoo.com
Telephone: +86-571-87783570 Fax: +86-571-87022776
Received: April 7, 2014
Revised: June 8, 2014
Accepted: July 11, 2014
Published online: December 28, 2014
Revised: June 8, 2014
Accepted: July 11, 2014
Published online: December 28, 2014
Core Tip
Core tip: This case report presents the treatment of an intestinal obstruction using a conservative alternative to surgical therapy. A patient presented with signs of intestinal obstruction, which was confirmed by radiography. A diospyrobezoar was revealed during gastroscopy that was not extractable due to its size and firmness. The obstruction was successfully managed following holium laser fragmentation using a “sandwich” strategy of ileal tube decompression and Coca-Cola lavage between two endoscopic lithotripsy procedures. This treatment strategy should therefore be considered in place of surgical intervention for the treatment of intestinal obstructions.