How to treat gastric stones? Treatment of gastric stone disease

The treatment for patients with gastric stones includes surgical treatment and non-surgical treatment. Non-surgical treatment mainly involves oral administration of some alkaline drugs, such as 5% sodium bicarbonate and pectinase, as well as strong acid inhibitors. If the condition is serious, surgical treatment should be considered.

1. Non-surgical treatment

(1) Oral alkaline drugs: such as 5% sodium bicarbonate 30 ml/time, 3 times/day, for 1 month.

(2) Strong acid suppressants: Proton pump inhibitors such as esoprazole 20 mg, once a day, orally for 1 month.

(3) Pectinase: Literature reports that the use of pectinase to treat gastric stones can achieve good results, and the stones can be eliminated quickly, the method is simple, and there are no adverse reactions. Pectinase can catalyze the depolymerization of pectin and the hydrolysis of esters in pectin molecules. Generally, taking 3g of pectinase once is enough to cure the disease.

2. Use a snare to remove stones under gastroscopy.

3. Surgical incision to remove the stone Although some plant balls can be dissolved and broken down after taking the above-mentioned medicines, and some may disappear after severe vomiting and massage, these treatments are unreliable and sometimes harmful, and are not as good as surgical treatment.

The stomach should be properly lavaged before surgery, and care should be taken during surgery to prevent the stomach contents from contaminating the abdominal cavity, especially in patients with hairballs. Once the rancid contents in their stomach contaminate the abdominal cavity, it can easily cause severe peritonitis. The hair bulb can sometimes extend into the duodenum through the pylorus, and when removing it, care should be taken to completely remove the entire hair bulb. Sometimes there is more than one plant ball, and during surgery, care should be taken to check the entire gastrointestinal tract to avoid any residue left behind.

For patients with gastric stone disease accompanied by gastric and duodenal ulcers, the ulcers can usually heal on their own after the hair bulbs are removed. Wakl[13] consulted the literature and collected 13 cases of patients with hair bulbs. All of them achieved good results in curing the associated ulcers after simple hair bulb extraction. If the ulcer is accompanied by complications such as bleeding, perforation and stenosis, appropriate treatment should be given.