Gastrointestinal bezoars

Abstract

Of 99 patients with 117 gastrointestinal bezoars, 69 had undergone previous surgery, the most common operation being bilateral truncal vagotomy with pyloroplasty (55 patients). An excessive intake of vegetable fibre was found in 38 patients and poor mastication in 27. Thirty bezoars presented with gastric symptoms and patients had endoscopy as the diagnostic technique; 87 caused symptoms of intestinal obstruction with the diagnosis made by plain abdominal radiography. Medical treatment by enzymic or endoscopic fragmentation was used for 17 of 30 gastric bezoars; surgery was required in the remainder. Intestinal bezoars causing obstruction can be fragmented and 'milked' to the caecum. The stomach should be explored for associated gastric bezoars.

Gastrointestinal bezoars: A retrospective analysis of 34 cases

“…Major complications of BZs include intestinal obstruction, gastric perforation, gastric ulcer, gastritis [6,[23][24][25] . SBO is the most common complication and requires surgery [3] .…”

A 64-year-old man admitted to the Emergency Department with an unusual case of intestinal obstruction: decision-making in the Emergency Department

“…They most often develop in patients who have undergone gastric resection or ulcer surgery [16]. Studies have shown that more than 75% of patients who develop gastric or small bowel bezoars have a past history of surgery for peptic ulcer disease [17]. In accord with the literature, our patient had undergone gastric resection.…”

A Rare Reason of Mechanical Intestinal Obstruction; Phytobezoar Images for Clinicians

“…Since there is abdominal surgery history in most of the patients, it can be misleadingly thought that obstruction related to adhesion develops (6). Epigastric pains imitating peptic ulcer activation in gastric bezoars or upper gastro-intestinal system bleeding and perforation due to bezoar eroding mucosa might be observed (7). Time between the first surgery and phytobezoar formation is generally more than 10 years.…”