Rice Cake Ileus - A Rare and Ethnic but Important Disease Status in East-Southern Asia

Miura, Tomofumi; Kimura, Naruhiro; Nakamura, J.; Yamada, Satoshi; Miura, Tsutomu; Yanagi, Masahiko; Ikeda, Youko; Takaki, Satoshi; Tani, Yuji; Ito, Takeshi; Nishihara, Mamiko; Takahashi, Toru

doi:10.2169/internalmedicine.50.6152

Cited by 18 publications

(13 citation statements)

References 6 publications

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“…Miura et al reported that although tenderness is present in all cases, guarding was only present in four of 14 cases. 6 In the current case, the patient presented with a soft abdomen.…”

Section: Discussionmentioning

confidence: 74%

“…Dietary intestinal obstruction is commonly relieved with conservative treatment, especially those cases asso-ciated with the consumption of mochi. 6 However, when there are relatively severe symptoms, dietary intestinal obstruction can be difficult to differentiate from strangulated obstruction. Cases of perforation of the small intestines have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…firmed cases in total. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Regarding the foods causing bowel obstruction, the prevalence of dietary intestinal obstruction is 0.3-5.9% 5,19 for all forms of intestinal obstruction in Japan. Differences in dietary cultures appear to greatly affect the cause of dietary intestinal obstructions.…”

Section: Patient Reportmentioning

confidence: 99%

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Small Bowel Obstruction Due to Mochi (Rice Cake): A Case Report and Review of the Literature

et al. 2018

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A 66-year-old man presented at our emergency department with severe intermittent abdominal pain. His history revealed that he had eaten several mochi (rice cakes) without sufficiently chewing them before swallowing. Following computed tomography that showed a high value, he was diagnosed with an obstruction caused by mochi. Although mochi obstruction can sometimes improve with conservative treatment, this case required laparotomy. Medical literature in English on small bowel obstruction due to mochi is rare, but fortunately in this case we were able to collect complete laboratory and imaging data. Furthermore, due to the surgical findings, we could clearly diagnose the pathophysiology of mochi obstruction. Here we describe a case of small bowel obstruction due to mochi, and review the literature to determine the characteristics of intestinal obstruction caused by it.

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“…Miura et al reported that although tenderness is present in all cases, guarding was only present in four of 14 cases. 6 In the current case, the patient presented with a soft abdomen.…”

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Patient Reportmentioning

confidence: 99%

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Small Bowel Obstruction Due to Mochi (Rice Cake): A Case Report and Review of the Literature

et al. 2018

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“…Eating highly dense and sticky foods without chewing also causes severe constipation, for example rice cake (Miura et al, 2011), apple (Tayeb et al, 2011) and wild bananas (Slesak et al, 2011). Owing to the formation of a strong glue-like component, consumption of persimmon, a fruit, is a major predisposing factor for faecal compaction and phytobezoar (large undigested plant remnants) in the stomach or the small intestine (Kement et al, 2012).…”

Section: Constipating Foodsmentioning

confidence: 99%

Preventing constipation: a review of the laxative potential of food ingredients

Gélinas

2012

Int J of Food Sci Tech

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Summary Constipation is a highly prevalent and difficult‐to‐cure health problem, forcing 10–20% of the worldwide population to seek medical care. Efficacy of treatments varies greatly among individuals, and problems are becoming more frequent despite higher consumption of fibre‐rich foods, the most popular solution for preventing such gastrointestinal disorders. The evidence that consumption of fibre prevents and relieves constipation is unconvincing or uncertain. The food industry has made great efforts to develop fibre‐rich ingredients, especially those from food by‐products and wastes. Except for psyllium and wheat bran, most of these ingredients have intermediate or low laxative potential and their efficacy needs to be confirmed by more clinical studies. This review suggests that there are major discrepancies between the proposed fibre‐enriched ingredients and the consumers' needs. As a lasting solution to prevent constipation, the true impact of dietary fibre and potent food‐grade laxatives might also be limited by overeating.

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“…The patient denied the recent ingestion of any foreign objects. Based on the patient's history of rice cake consumption and the typical CT findings, he was diagnosed with small bowel obstruction due to rice cake (1,2). The patient was admitted to our hospital for conservative care.…”

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confidence: 99%

Small Bowel Obstruction due to Rice Cake (Mochi)

et al. 2016

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A 69-year-old Japanese man with no history of abdominal surgery was referred to our hospital with the chief complaints of abdominal pain and vomiting. A physical examination of the abdomen revealed mild epigastric tenderness. The pertinent laboratory data included a WBC count of 14,900/μL, a C-reactive protein level of 0.96 mg/dL, and a normal chemistry panel. An abdominal radiograph suggested bowel obstruction (Picture 1). Computed tomography (CT) revealed homogenous high-density materials in the small intestine with proximal intestinal dilation (Picture 2, 3). Rice cakes (mochi in Japanese) and foreign materials are both known to appear as homogenous high-density objects on CT (1). The patient presented in February (rice cakes are commonly consumed during the winter in Asian countries) (1). Detailed history taking disclosed that the patient had consumed rice cakes fourteen hours before coming to the hospital. The patient denied the recent ingestion of any foreign objects. Based on the patient's history of rice cake consumption and the typical CT findings, he was diagnosed with small bowel obstruction due to rice cake (1, 2). The patient was admitted to our hospital for conservative care. His symptoms thereafter completely resolved within a few days.

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Rice Cake Ileus - A Rare and Ethnic but Important Disease Status in East-Southern Asia

Cited by 18 publications

References 6 publications

Small Bowel Obstruction Due to Mochi (Rice Cake): A Case Report and Review of the Literature

Small Bowel Obstruction Due to Mochi (Rice Cake): A Case Report and Review of the Literature

Preventing constipation: a review of the laxative potential of food ingredients

Small Bowel Obstruction due to Rice Cake (Mochi)

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