Preventing Gastric Persimmon Stones: Understanding the Risks and Treatment

2024-01-10 06:52:43

When autumn and winter arrive, it is the season for persimmon production. (Photo/Photo by Yu Luguang)

A man surnamed Zhang from Zhejiang Province in mainland China recently almost had an intestinal perforation following eating 10 persimmons because of his gluttony. It is understood that Mr. Zhang usually likes to eat persimmons. He ate 10 persimmons in one go that day. After that, he began to have unbearable pain in his stomach and was rushed to the hospital. After a doctor’s examination, it was found that the patient’s intestines had been perforated and the situation was very critical.

According to local media reports, Mr. Zhang (pseudonym), a 50-year-old man in Hangzhou, bought a lot of persimmons online as snacks. Recently, he ate nearly 10 persimmons in a row before he was satisfied. As a result, Mr. Zhang felt a vague pain in his stomach when he went to bed that night. He didn’t take it seriously at first. After half a month, the situation did not improve. A few days ago, the abdominal pain suddenly worsened, and nausea, vomiting and other symptoms occurred at the same time. Only then did he come to Zhejiang Provincial Traditional Chinese and Western Medicine. He was treated at the gastroenterology department of the combined hospital (Hangzhou Red Cross Hospital).

After receiving the consultation, Xu Jianjun, chief Chinese physician of the Department of Gastroenterology, inquired regarding the medical history in detail and combined with the CT examination report, he judged that Mr. Zhang may have suffered from gastric persimmon stone obstruction due to eating too many persimmons on an empty stomach, and must be dealt with immediately. Subsequently, Xu Jianjun immediately performed gastrointestinal decompression for Mr. Zhang and arranged for a gastroscopy. The result was more complicated than expected. The gastric persimmon stone had fallen into the descending part of the duodenum, causing duodenal obstruction and perforation. risk.

Due to the poor location of the stone, the treatment method of oral cola or sodium bicarbonate dissolution might not be used. After comprehensive analysis and consideration, Xu Jianjun’s team immediately arranged for endoscopic lithotripsy. After treatment, Mr. Zhang recovered and was discharged. Xu Jianjun introduced that every autumn and winter, the Department of Gastroenterology will treat several patients with gastric persimmon stones, most of which are related to improper diet.

Doctors explained that gastric persimmon stone refers to a mass formed by a large amount of fresh persimmons or persimmon cakes being retained and condensed in the stomach. The cause of formation is related to complex changes in the gastric environment. Take Mr. Zhang as an example. He ate a large amount of persimmons on an empty stomach. Persimmons contain a large amount of tannic acid and pectin. These substances will form gastric persimmon stones that are difficult to dissolve under the action of gastric acid.

Stone persimmon mainland Zhejiang intestinal perforation

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