Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2022; 10(19): 6428-6436
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6428
Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy
Wen Xu, Xiao-Bo Liu, Sheng-Bao Li, Wei-Ping Deng, Qiang Tong
Wen Xu, Xiao-Bo Liu, Wei-Ping Deng, Qiang Tong, Department of Gastroenterology, Taihe Hospital, Shiyan 442000, Hubei Province, China
Sheng-Bao Li, Department of Gastroenterlogy, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China
Author contributions: Deng WP and Xu W conceived and designed this study; Xu W and Liu XB searched the literature and collected the data; Li SB and Tong Q performed the statistical analysis and interpreted the data; Xu W and Liu XB wrote the manuscript; All authors read and approved the final manuscript.
Supported by 2016 Joint Diagnostic Medicine Research Project of Taihe Hospital, No. 2016JD02.
Institutional review board statement: This study was approved by the Ethics Committee of the Shiyan Taihe Hospital, No. 2021KS041.
Conflict-of-interest statement: The authors declare that they have no conflicting interests.
Data sharing statement: Data sharing statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Ping Deng, PhD, Professor, Department of Gastroenterology, Taihe Hospital, No. 32 South Renmin Road, Shiyan 442000, Hubei Province, China. 173642105@qq.com
Received: October 27, 2021
Peer-review started: October 27, 2021
First decision: March 11, 2022
Revised: March 26, 2022
Accepted: April 21, 2022
Article in press: April 21, 2022
Published online: July 6, 2022
Abstract
BACKGROUND

Large gastric persimmon stones are generally resistant to standard endoscopic treatments. We applied an alternative endoscopic method using a hand-made snare for the treatment of large gastric phytobezoars.

AIM

To explore the clinical efficacy of a self-made wire loop snare to treat giant gastric persimmon stones.

METHODS

A retrospective study evaluated the clinical data of 38 patients with gastroliths admitted to Taihe Hospital in Shiyan City, Hubei Province, China, between March 2015 and October 2020. The patients were divided into observation (n = 23) and control (n = 15) groups. Patients in the observation group were treated with self-made wire loop snares for lithotripsy, and patients in the control group were treated with traditional foreign body forceps, snares, injection needles, and other tools. Successful stone removal, treatment time, and hospital stay were compared.

RESULTS

The average operating time was significantly shorter (P < 0.001) in the observation group (53.4 min) than that in the control group (172.8 min). The average hospital stay of the observation group (5.4 d) was significantly shorter (P < 0.001) than that in the control group (10.3 d). Successful one-time treatment was significantly more frequent (P < 0.001) in the observation group (87%) than in the control group (7%).

CONCLUSION

Self-made guidewire loop snares were successfully used to treat gastrolithiasis, and were significantly more effective than foreign body forceps, snares, and other traditional methods.

Keywords: Gastric persimmon, Phytobezoars, Self-made snare, Endoscopy, Treatment

Core tip: Endoscopic therapy is the first choice for gastrolithiasis. The commonly used method is cutting gastroliths into small pieces and then taking them out with foreign body forceps, snares, injection needles, and net baskets. However, these tools have insurmountable defects, such as cumbersome operation times and must be entered repeatedly, increasing the risk of damage to the patient’s throat and esophagus, and has higher treatment costs. Since October 2016, our team has treated gastric persimmon stones with self-made snares. In this study, the advantages and disadvantages of self-made snares will be analyzed and compared with those of traditional tools.