초록
위석은 소화관 내에 이물질과 음식이 축적되어 응결된 것이다. 여러 가지 내시경적 방법이 위석을 제거하는데 사용이 되지만 고가의 장비이고 합병증의 발생 위험성으로, 일차 병원에 서 사용이 용이하지 않다. 하지만 비교적 쉽게 사용할 수 있는 콜라와 투명캡을 이용한 내시경적 시술법을 보고하며, 이러한 방법이 고가의 장비가 없는 일차 병원에서 합병증 없이 위석을 제거하는데 도움이 된다.
Bezoars are collection of indigestible materials in the gastrointestinal tract. Many endoscopic techniques for removal of bezoars have been reported recently, but these methods need much equipment. We treated a gastric bezoar with a distal attachment device easily available for an endoscope. A 74-year-old man with a history of diabetes mellitus was admitted to hospital with hematemesis. On the second endoscopic examination, a gastric bezoar ($6{\times}4{\times}4 cm$) was detected in the stomach. Then, using a distal attachment device, we injected Coca-Cola directly into the bezoar by an injector. With tension force, the bezoar was easily broken due to the impulse of the distal attachment device. The endoscopic technique used in our case can be easily performed and has fewer complications compared to those of other techniques. Therefore, we report here on this new treatment modality that uses a distal attachment device.
