The Singing-Class Teacher: His Principles and Methods

Gelrud, Paul G.; Gelrud, Gloria; Field-Hyde, F. C.

doi:10.2307/890737

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2014

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“…Barium X-ray, ultrasonography, CT scan of the abdomen or endoscopy are the useful modalities to diagnose this condition. Upper GI endoscopy is considered to be the gold standard for the diagnosis of gastric bezoars 17. Removal of the mass and prevention of recurrence are the two objectives of treatment.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar leading to gastric outlet obstruction in a patient with diabetes

Dhakal

Bhandari

2014

BMJ Case Reports

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Gastroparesis is a condition which results in delayed gastric emptying without gastric outflow tract obstruction. Gastrointestinal involvement in diabetes can present in various forms such as oesophageal dysmotility, gastro-oesophageal reflux disease, gastroparesis, enteropathy, non-alcoholic fatty liver disease and glycogenic hepatopathy. Gastroparesis is the most common gastric motility disorder complicating long-standing diabetes. It can sometimes lead to mechanical obstruction as a result of formation of bezoars. Phytobezoars are the most common type of bezoar and are composed of indigestible food, vegetable fibre or seeds. Poor pyloric function and decreased acid formation predisposes phytobezoars formation in patients with diabetic gastroparesis. An 80-year-old patient with diabetes in our presentation developed gastric outlet obstruction due to impaction of phytobezoar over the pylorus.

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Section: Discussionmentioning

confidence: 99%