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Novel approach to managing two enormous bezoars with successive snare-tip electrocautery: A case report.

World J Gastrointest Endosc

January 2025

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Lukang Christian Hospital, Changhua 505002, Taiwan.

Background: Gastric bezoars are indigestible masses that can lead to gastrointestinal obstruction and ulceration. Standard treatments include endoscopic mechanical lithotripsy with a polypectomy snare and Coca-Cola dissolution therapy or a combination of both approaches. However, giant bezoars frequently require multiple treatment sessions and extended hospital stays.

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Small intestinal obstruction caused by the gastric bezoars in elderly diabetic patients: A case report.

Int J Surg Case Rep

December 2024

School of Clinical Medical College, Hebei University, Baoding 071000, China; Department of Digestive Medicine, Affiliated Hospital of Hebei University, Baoding 071000, China.

Introduction: Bezoar is an unusual cause of small bowel obstruction accounting for 0.4-4 % of all mechanical bowel obstruction. With the rising incidence of diabetes and the associated risk of gastrointestinal issues.

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Phytobezoar-induced intestinal obstruction is a rare condition caused by previous gastric surgery and consumption of tannin-containing foods. Laparoscopy used to be a common treatment to relieve intestinal obstruction due to phytobezoars. We reported a rare case of phytobezoar-induced intestinal obstruction caused by over-consuming fresh hawthorns, and successfully treated with enteroscopy.

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Article Synopsis
  • Small bowel bezoar obstruction (SBBO) is a rare condition where hard fecal masses block the small intestine, often seen in elderly or bedridden patients and can be hard to diagnose due to similar symptoms with other types of obstructions.
  • A case study of a 49-year-old male with diabetes who consumed persimmons showed SBBO caused by a phytobezoar, diagnosed through imaging and treated with a non-surgical method involving endoscopic fragmenting and paraffin oil.
  • The effective treatment strategy highlighted includes using double balloon enteroscopy and sequential laxative therapy, demonstrating the potential for non-surgical management of this condition.
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