Autovagotomy and Gastric Bezoar

Neoplastic autovagotomy causing gastric stasis

“…However, complete autovagotomy appears to be a rare occurrence and there are only 2 previous reports in the literature (Kirks and Szemes, 1971;Allan et al, 1977). One case was an oesophageal carcinoma and the other a bronchial carcinoma and both were complicated by bezoar formation and, at post-mortem, evidence of extensive perineural invasion of vagal branches by neoplastic tissue was obtained.…”

“…In diabetes mellitus, it is well recognized that autonomic dysfunction may lead to atonic gastric dilatation (Rundles, 1945). However, direct vagus nerve involvement with malignant disease is extremely rare and there have been only 2 previous reports in the literature (Kirks and Szemes, 1971;Allan, Willson and Lee, 1977).…”

The radiologic manifestations of diabetic gastric neuropathy and its differential diagnosis

“…Autovagotomy due to tumor invasion of the vagus nerve (Fig. 6) has been reported in a case of undifferentiated carcinoma of bronchial origin [3], and in esophageal carcinoma producing bezoar formation due to gastric hypotonia [4]. Surgical vagotomy may temporarily simulate diabetic gastric neuropathy; however, the intramural nervous system of the stomach gradually takes over and furnishes enough parasympathetic influence to make peristalsis effective again.…”

Endoscopic Gastric Food Retention in Relation to Scintigraphic Gastric Emptying Delays and Clinical Factors

“…Most phytobezoars have been reported in older studies in association with surgery for peptic ulcer disease, usually with performance of vagotomy [7][8][9][10][11][12]. Other less common causes of bezoars include diabetes and neuromuscular diseases such as myotonic dystrophy [6,[13][14][15].…”