ISSN: 1859 - 2872
The role of the nurse in instrument preparation, physician coordination, and post-treatment follow-up in patients undergoing endoscopic removal of gastric bezoars
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Abstract
Objective: To describe the clinic and endoscopic characteristics of gastric phytobezoars. Access physician coordination and nursing care patient undergoing endoscopic removal of gastric bezoars. Subject and method: A prospective interventional study without control group was done from January 2018 to June 2022 at Endoscopic Gastroenterology Department, 108 Military Central Hospital. Result: 45/45 patients suffered from gastric phytobezoars: Mean age was 61.4 years, Male:female rate was 1:2, risk factors included dental problems, solid food. Mean size of bezoars was 46 × 66 × 97mm. Peptic ulcers were seen in 32 cases (71.1%). Empty stomach before endoscopy: 88.9%. During endoscopy: 100% monitoring, sedation with Oxygen. Mean procedure time was 62 minutes (range 30-90 minutes). After procedure, 100% treatment used oral Coca-Cola and abdomional pain monitoring. One patient (2.2%) required surgery for ileus due to an obstruction at the distal part of the jejunum. Conclusion: Endoscopic treatment with improved instrument was safe and effective for gastric bezoars patients. The role of nursing care was important in preparation, physician coordination, and post-treatment follow-up.
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References
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