Giant intragastric sodium polystyrene sulfonate bezoar

Croitoru, M.; Shouval, Aniela; Chepurov, Dimitry; Katz, Yeshayahu

doi:10.1038/ki.2015.18

Cited by 7 publications

(2 citation statements)

References 3 publications

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“…Reported cases were mainly caused by medication bezoars. [11][12][13] One possibility is that patients undergoing dialysis are generally on a potassium-restricted diet, which is typically low in fresh fruits and vegetables and very low in fiber. In the present case, the phytobezoar formation appeared to have been caused by excessive guava consumption with a lack of appropriate chewing, indicating the importance of dietary factors, eating habits, and dental health.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar-induced small bowel obstruction in an elderly patient undergoing dialysis: a case report

2020

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A phytobezoar is defined as an accumulation of poorly digested fruit and vegetable fibers in the gastrointestinal tract. Phytobezoar-induced small bowel obstruction is an uncommon entity and is usually removed surgically. We herein describe an elderly man undergoing dialysis who developed a phytobezoar because of excessive consumption of high-fiber fruits and inappropriate chewing. His potential predisposing factors were dialysis-related lifestyle changes, reduced activity levels, fluid restriction, and gastrointestinal motility dysfunction; however, he had no history of gastric surgery. The patient’s clinical history and characteristic imaging features aided in the diagnosis. He underwent medical treatment, and his recovery was uneventful. This case highlights the importance of an awareness of phytobezoar-induced small bowel obstruction in patients at increased risk of developing bezoars and demonstrates that this condition can occur in the absence of previous gastric surgery. We believe that elderly patients undergoing dialysis are at increased risk of developing bezoars. Excessive consumption of a strictly fibrous diet and insufficient chewing exacerbate the risk. A detailed dietary history and imaging features can aid in early diagnosis, leading to appropriate medical or surgical care. Surgical treatment is not inevitable in all cases. Individualized dietary suggestions in these patients are important for effective preventive control.

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Section: Discussionmentioning

confidence: 99%

Phytobezoar-induced small bowel obstruction in an elderly patient undergoing dialysis: a case report

2020

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“…Moreover, aluminum hydroxide gel, enteric-coated aspirin, sucralfate, cholestyramine, enteral feeding formulas, mesalamine pills, and meprobamate appear to contribute to the development of pharmacobezoars [47, 48]. Furthermore, a case by Croitoru et al [10] reported a sodium polystyrene sulfonate gastric bezoar in a patient who mechanically ventilated after cardiopulmonary resuscitation secondary to pericarditis, primary lung cancer, and kidney failure with concomitant hyperkalemia.…”

Section: Risk Factorsmentioning

confidence: 99%

Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

Khan

Jiang

Zhu

et al. 2019

Gastroenterology Research and Practice

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A gastric bezoar is a compact mass of indigestible foreign materials that accumulate and consolidate in the stomach; however, it can be found in other sites of the gastrointestinal tract. The causative manner of this condition is complex and multifactorial. The main purpose of the review was to raise awareness among clinicians, particularly gastroenterologists, that patients with certain risk factors or comorbid conditions are predisposed to gastric bezoar formation. Early diagnosis and prompt intervention are crucial to avoid bezoar-induced complications. Upper gastrointestinal endoscopy is the standard diagnostic and therapeutic method for gastric bezoars. However, for large size bezoars, surgical intervention is needed.

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Adverse Drug Effects Involving the Gastrointestinal System (Pharmacist Perspective)

Goriacko¹,

Veltri²

2021

Geriatric Gastroenterology

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Giant intragastric sodium polystyrene sulfonate bezoar

Cited by 7 publications

References 3 publications

Phytobezoar-induced small bowel obstruction in an elderly patient undergoing dialysis: a case report

Phytobezoar-induced small bowel obstruction in an elderly patient undergoing dialysis: a case report

Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

Adverse Drug Effects Involving the Gastrointestinal System (Pharmacist Perspective)

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