Surgical aspects of gastrointestinal persimmon phytobezoar treatment

Krausz, Michael M.; Moriel, Evyatar Z.; Ayalon, Amram; Pode, Dov; Durst, A

doi:10.1016/0002-9610(86)90221-7

Cited by 116 publications

(82 citation statements)

References 11 publications

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“…7 Krausz et al found phytobezoars were most common in small intestine (70.7%), followed by both in the small intestine and stomach (17.6%) then in the stomach alone (11.5%) . 20 Similar finding were also found by Chisholm et al 12 and Ertugrul et al 3 The present case of phytobezoar was complicated by intestinal obstruction and terminal ileum was the site of obstruction.…”

Section: Discussionsupporting

confidence: 91%

“…20 Whereas no mortality and 7.6 % morbidity were observed in the study conducted by Ertugrul et al 3 …”

Section: Discussionmentioning

confidence: 88%

“…Whereas decreased bowel sounds, rebound tenderness, rigidity and abdominal distension are found in abdominal examination. 4 These can also present with complications such as intestinal obstruction or with perforation, ulcer or melena caused by mucosal irritation by the bezoars. 5 Here the patient presented with abdominal pain, abdominal distress, constipation as well as features of intestinal obstruction and a palpable mass in right side of lower abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…3 Abdominal distress, abdominal pain, constipation, nausea and vomiting are common presentations. 4 Complications are intestinal obstruction, perforation, ulcer and melena. 5 Among these small bowel obstruction is the most common major complication of phytobezoars and accounts for 0.4-4% of total cases of intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

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Intestinal Phytobezoar: A Rare Case Report

et al. 2017

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Section: Discussionsupporting

confidence: 91%

“…20 Whereas no mortality and 7.6 % morbidity were observed in the study conducted by Ertugrul et al 3 …”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intestinal Phytobezoar: A Rare Case Report

et al. 2017

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“…7,8 More specifically, gastrectomy has been identified as a major predisposing factor of bezoar formation, increasing the frequency of formation from 5% to 7%. [9][10][11][12] Additionally, Kement et al 13 found that gastric surgery was common amongst 42.8% of patients in their study who had complications related to bezoar formation. 13 It is thought that other predisposing factors to bezoar formation include eating habits, such as excessive persimmon consumption, diabetic gastropathy, cerebral infarction, and medications that reduce gastrointestinal motility.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

Funamizu

Kumamoto

Watanabe

et al. 2015

International Surgery

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Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

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Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction

Yau

Siu²,

Law³

et al. 2005

Arch Surg

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Background: Bezoar-induced small-bowel obstruction (SBO) is an uncommon surgical emergency. Accurate preoperative diagnosis is notoriously difficult, and conventional management often necessitates laparotomy. Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases. Hypothesis: Laparoscopic management of bezoarinduced SBO is safe and effective when compared with traditional laparotomy treatment. Patients and Methods: A retrospective study was conducted from November 1, 1998, to November 30, 2003, to compare laparoscopic vs open treatment for bezoarinduced SBO. Patients' demographics, operative details, and surgical outcomes were evaluated. Results: During the study period, 24 patients (16 men and 8 women) with a mean age of 68.2 years underwent operative treatments for bezoar-induced SBO. Ten patients received laparoscopic treatments and the other 14 received laparotomy treatments. The patients were comparable in age, sex, and physiological status. There were 3 conversions in the laparoscopy group owing to technical difficulties. The laparoscopic approach was associated with statistically significant shorter operative time (P=.048), fewer postoperative complications (P=.04), and reduced hospital stay (P=.009). Conclusions: When expertise is available, laparoscopy is safe and effective in the management of bezoar-induced SBO and is associated with superior postoperative outcomes when compared with the conventional open approach.

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Surgical aspects of gastrointestinal persimmon phytobezoar treatment

Cited by 116 publications

References 11 publications

Intestinal Phytobezoar: A Rare Case Report

Intestinal Phytobezoar: A Rare Case Report

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

Laparoscopic Approach Compared With Conventional Open Approach for Bezoar-Induced Small-Bowel Obstruction

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