The Stomach After Surgery

Abstract

Twenty-five per cent of the authors' total upper endoscopy experience since 1974 has been in patients who have had upper gastrointestinal tract surgery. The observations from 617 examinations in 400 of these patients is reviewed. Pain or nausea and vomiting was a common presenting symptom. Multiple complaints were frequent. Gastritis was the most common endoscopic finding present in 127 patients (32%). Biopsy yielded an 89% histologic confirmation of the endoscopic perception. Coexisting mucosal pathology was common, with 39% of the patients having two or more abnormalities. X-ray in 190 patients had only a 30% accuracy rate and a frequent occurrence of false negatives (46%). Bezoars and intraluminal sutures were seen commonly and endoscopy provided a therapeutic choice for enzyme injection of the bezoar and removal of the sutures. Endoscopy provided a method of evaluation of our highly selective vagotomy technique; 96% of our patients with ulceration at the time of surgery were healed by endoscopy and 93% had active antral-pyloric function.

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

“…Taking into consideration that the gastric antrum regulates the mechanical fragmentation of food particles and the pylorus acts as a doorkeeper that deters the passage of large boluses, such operations facilitate the passage of maldigested large food boluses to the duodenum and the small intestine, predisposing to bezoar formation. Interestingly, these masses may be formed within 9 months to 30 years after gastric surgery, according to various studies [2,7,40].…”

Meat bezoar due to inadequate mastication leading partial bowel obstruction: A case report

“…Gastrointestinal bezoars comprise undigested or inedible materials found in various parts of the gastrointestinal tract [ 1 ]. While they may occur in individuals with normal gastrointestinal tract structure, certain factors increase the risk, including anatomical abnormalities, gastrointestinal motility issues, diabetes mellitus, excessive fiber intake, psychological conditions, and poor mastication [ [2] , [3] , [4] , [5] ]. This report presents a rare case of meat bezoar in a 52-year-old man at Firuzabadi Educational Hospital in Tehran, Iran.…”

Giant Gastric Bezoar Complicating Congenital Esophageal Atresia Repaired by Gastric Interposition—A Case Report

“…Most bezoars are found in children and young females with pica, and particularly when associated with psychiatric disorders or mental retardation. By contrast, in adults, most bezoars are related to previous gastric surgery that reduces gastric motility ( 2 , 3 ).…”