Acute Intestinal Obstruction Caused by Macaroni

Pecora, David V.; Pepe, E; Cooper, Philip

doi:10.1056/nejm195205012461806

“…In four out of this group of five cases the obstructing agent was orangepith. Since 1950 numerous cases of foodstuff ileus following Polya gastrectomy have been reported: Stalker and Gotham (1950), obstruction by orange-pith; Pecora, Pepe, and Cooper (1952), obstruction by macaroni; Rowling (1956), two cases of obstruction by undigested orange; MacPhee (1956), obstruction by orange bolus; Ward-McQuaid (1956), obstruction by orange bolus; Rains, Dawson-Edwards and Brookes (1956), obstruction by coconut; Ryan (1956), obstruction by orange bolus; Norberg (1955), seven cases of foodstuff obstruction, in five of which citrus fruits were involved; Norberg (1956), eight cases of obstruction by orange bolus; Davies (1956), obstruction by orange bolus; MacCarthy (1956), obstruction by orange bolus.…”

Section: Casementioning

confidence: 99%

“…In four out of this group of five cases the obstructing agent was orangepith. Since 1950 numerous cases of foodstuff ileus following Polya gastrectomy have been reported: Stalker and Gotham (1950), obstruction by orange-pith; Pecora, Pepe, and Cooper (1952), obstruction by macaroni; Rowling (1956), two cases of obstruction by undigested orange; MacPhee (1956), obstruction by orange bolus; Ward-McQuaid (1956), obstruction by orange bolus; Rains, Dawson-Edwards and Brookes (1956), obstruction by coconut; Ryan (1956), obstruction by orange bolus; Norberg (1955), seven cases of foodstuff obstruction, in five of which citrus fruits were involved; Norberg (1956), eight cases of obstruction by orange bolus; Davies (1956), obstruction by orange bolus; MacCarthy (1956), obstruction by orange bolus.The three cases reported above bring the total number of recorded cases of post-gastrectomy obstruction by food to 33, and the obstruction was caused by citrus fruits, particularly oranges, in no fewer than 28 (84%).There is thus no room for doubt that this complication is a very real hazard to the patient after Polya gastrectomy. So far as I am aware it has been reported only once following the Billroth I operation (Norberg, 1956), probably because it is rarely possible to make a gastro-duodenal anastomosis which is appreciably wider than the lumen of the narrowest part of the small bowel.…”

mentioning

confidence: 99%

Orange-pith Ileus After Partial Gastrectomy

Butler¹

1959

BMJ

View full text Add to dashboard Cite

During the past decade it has become increasingly apparent that after the Polya type of gastric resection there is a very real risk of subsequent intestinal obstruction by the impaction of foodstuffs in the small bowel. The present paper is prompted by the recent occurrence on one surgical unit of three such cases, in all of which orange-pith was the offending substance. This particular complication of gastrectomy should be a preventable cause of morbidity, and it is therefore worthy of wide recognition.

show abstract

“…The relative paucity of symptoms associated with diverticuli of the gastroin testinal tract is emphasized. An unusual case of acute intestinal obstruction due to phytobezoar, which was macaroni, has been reported (54). The authors of this review note that they were able to find only 42 cases of phyto bezoar of the small bowel published since 1940.…”

Section: Disorders Of the Small Intestinementioning

confidence: 99%

Diseases of the Gastrointestinal Tract

Cheney¹,

Callaway²

1953

Annu. Rev. Med.

0

View full text Add to dashboard Cite

“…Since that time a further review of the literature has revealed another nine foods which have been incriminated. These are Christmas pudding (Keynes, 1950), meat (Payne, 1950), methylcellulose (Desjacques, Pouyet, and Bene, 1952;Francillon, 1952), macaroni (Pecora, Pepe, and Cooper, 1952), kidney beans (McCabe and Knox, 1963), prune stone (Rosen and Shapiro, 1964), potato skin (Wilde, 1965), wild peaches (Seith, 1965), and a case of grass ball obstruction of the ileum in an 18-year-old psychologically disturbed youth (Kune, 1965).…”

mentioning

confidence: 99%