Abstract
We report a case of bezoar fragmented endoscopically by polypectomy snare and clear hood. A 86-year-old woman was introduced to our hospital because of gastric ulcer with large bezoar. Upper gastrointestinal endoscopy revealed a browish bezoar of hen's egg size associated with a gastric ulcer in the antrum. Because the bezoar was large and hard, we failed to break the bezoar by the snare at first. So we attached a clear hood to the top of the endoscope and pull out the snare holding the bezoar. The bezoar was easily broken into half. Repeating on the same process, the bezoar could be crashed into small pieces, and excreted into the stool. Our method of crushing the bezoar is one of the simple and effective treatments.
