Persimmon fruit causing simultaneous small bowel and stomach obstruction

Teng, Thomas Zheng Jie; Tan, Yen Pin; Shelat, Vishal G

doi:10.11622/smedj.2019132

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…Bezoars are masses of indigestible substances that accumulate in the GI system. 117 The clinical presentation is similar to ASBO, and preoperative diagnosis can be difficult. 118 Misdiagnosing bezoar-induced SBO could lead to increased morbidity.…”

Section: Mechanical Barriersmentioning

confidence: 99%

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Adhesive small bowel obstruction – an update

Tong

Lingam

Shelat

2020

Acute Medicine & Surgery

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Small bowel obstruction (SBO) accounts for 12–16% of emergency surgical admissions and 20% of emergency surgical procedures. Even with the advent of laparoscopic surgery, intra‐abdominal adhesions remain a significant cause of SBO, accounting for 65% of cases. History and physical examination are essential to identify signs of bowel ischemia as this indicates a need for urgent surgical exploration. Another critical aspect of evaluation includes establishing the underlying cause for obstruction and distinguishing between adhesive and non‐adhesive etiologies as adhesive SBO (ASBO) can be managed non‐operatively in 70–90% of patients. A patient with a history of abdominopelvic surgery along with one or more cardinal features of obstruction should be suspected to have ASBO until proven otherwise. Triad of severe pain, pain out of proportion to the clinical findings, and presence of an abdominal scar suggest possible closed‐loop obstruction. Computed tomography has higher sensitivity and specificity compared to plain films and is recommended by the Bologna guidelines. Correcting fluid and electrolyte imbalance is an initial crucial step to mitigate severe hypovolemia. Patients should proceed with surgery if symptoms of bowel compromise are present, or if symptoms do not resolve or have worsened. Surgery is indicated in patients with ischemia, strangulation, perforation, peritonitis, or failure of non‐operative treatment. With advances in minimal access technology and increasing experience, laparoscopic adhesiolysis is recommended. Mechanical adhesion barriers are an effective measure to prevent adhesion formation.

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Section: Mechanical Barriersmentioning

confidence: 99%

“…Bezoar‐induced SBO is a less common differential of ASBO and constitutes 4% of SBO. Bezoars are masses of indigestible substances that accumulate in the GI system 117 . The clinical presentation is similar to ASBO, and preoperative diagnosis can be difficult 118 .…”

Section: Prevention Of Abdominal Adhesionsmentioning

confidence: 99%

Adhesive small bowel obstruction – an update

Tong

Lingam

Shelat

2020

Acute Medicine & Surgery

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“…Food-related SBO was described for many fruits including citrus fruit, persimmons, orange pith, mango, carrots, Brussels sprouts, wild banana and dried fruits. However, all those reports described phytobezoars as the mechanism of obstruction (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Small-Bowel Obstruction Due to Consumption of Oleaster-Leafed Pear: A Retrospective Study

Karaıslı

KARAYOL

2022

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Amaç: İnce bağırsak obstrüksiyonu dünya çapında yaygın bir acil durumdur. İğde yapraklı armut (Pyrus elaeagnifolia Pall.), Anadolu'da endemik bir yabani armut türüdür. Yabani armut meyveleri geleneksel tıpta diare tedavisi için tüketilmektedir. Bu çalışmada, yabani armut tüketimi sonrası gelişen adheziv ince bağırsak obstrüksiyonunu tanımlıyoruz.Gereç ve Yöntemler: Mayıs 2018-Eylül 2019 tarihleri arasında adezyona bağlı ince bağırsak obstrüksiyonu tanısı ile takip edilen hastaların tıbbi kayıtları geriye dönük incelendi. Hastalar, yabani armutla ilişkili ince bağırsak obstrüksiyonlu hastalar (Grup 1) ve yabani armutla ilişkisiz ince bağırsak obstrüksiyonlu hastalar (Grup 2) olarak iki gruba ayrıldı. Gruplar arasında, hasta özellikleri, kan parametreleri ve klinik özellikler karşılaştırıldı.Bulgular: Grup 1'de 16 ve grup 2'de 58 olmak üzere toplam 74 hasta çalışmaya dahil edildi. Grup 1 ve Grup 2'de ortanca yaş sırasıyla 55 ve 60,5 idi. Lökosit, C-reaktif protein, kan üre azotu seviyeleri Grup 2'de anlamlı olarak daha yüksekti (tümü p<0.05). Grup 1, daha kısa şikâyet süresi ve daha hızlı iyileşme ile ilişkili bulundu (tümü p<0.05). Sadece Grup 2'de cerrahi müdahale gerekti.Sonuç: Aşırı tüketilen geleneksel ilaçların potansiyel yan etkileri akılda tutulmalıdır. Şikayetler başlamadan önce tüketilen son gıdanın sorgulanması, gıda kaynaklı ince bağırsak obstrüksiyonu için bir ipucu olabilir.

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“…Persimmon phytobezoars are more difficult to break up into pieces, compared with other phytobezoars. This is because they consist of tough agents, such as tannins, cellulose, hemicellulose, and lignin [6,7].…”

Section: Introductionmentioning

confidence: 99%

Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

Mohammadi

Ahmadi

Imanipour

et al. 2021

IJMTFM

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Background: The term phytobezoar refers to a trapped mass in the gastrointestinal tract caused by the agglomeration of indigestible ingested plant materials, including fibers, skins, and seeds. A persimmon phytobezoar is formed after the frequent consumption of persimmons. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and depend on the localization and size of the trapped mass. Case Presentation: Here, we presented a 57-year-old male with persimmon phytobezoars, which finally led to small bowel obstruction. The patient was referred to the emergency room with complaints of severe abdominal pain and frequent vomiting. The patient underwent laparotomy surgery that led to the removal of a portion of his ileum. Conclusion: Overindulgence in taking persimmon can lead to formation of phytobezoar and subsequent obstruction of small intestinal. Persimmon phytobezoars are difficult to break up into pieces because of containing tannins, cellulose, hemicellulose, and lignin.

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Persimmon fruit causing simultaneous small bowel and stomach obstruction

Cited by 6 publications

References 4 publications

Adhesive small bowel obstruction – an update

Adhesive small bowel obstruction – an update

Small-Bowel Obstruction Due to Consumption of Oleaster-Leafed Pear: A Retrospective Study

Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

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