Successful resolution of upper jejunal obstruction caused by bezoars using three sessions of gastroscopic lithotripsy

A 57-year-old woman presented with upper abdominal pain for 2 months and vomiting for 10 days. Computed tomography (CT) scan revealed an upper jejunal obstruction caused by multiple bezoars measuring approximately 40 × 42 mm ([Fig. 1]). Gastroscopy performed 2 months earlier had identified a 7 × 4-cm bezoar in the stomach ([Video 1]). No intervention was performed at that time, and the patient was prescribed a proton pump inhibitor. Her medical history included laparoscopic cholecystectomy 4 years prior.