[Treatment of phytobezoars: a new method].

Gastroenterol Clin Biol

Published: March 1984

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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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Article Synopsis
  • Seed bezoars are a type of blockage caused by undigested seeds or fruit pits that can lead to constipation and pain.
  • A 48-year-old woman experienced severe constipation, leading to the discovery of sunflower seeds causing a rectal blockage, which was treated with manual evacuation.
  • A follow-up CT scan showed a gastric bezoar, which was successfully treated with Coca-Cola, indicating that most seed bezoars can often be managed without surgery and serious complications are uncommon.
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Phytobezoars are solid masses of indigestible plant material and are a common type of gastrointestinal bezoar, with varying incidences globally. These bezoars typically form from the ingestion of high-fiber fruits and vegetables and are associated with factors such as decreased gastric acid production and delayed gastric emptying. We present a case of a 35-year-old healthy man with recurrent upper abdominal pain, nausea, a rolling ball sensation in the abdominal region, and a history of consuming unripe persimmons.

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Gastric Bezoars: A Retrospective Analysis of 44 Cases.

Med Sci Monit

August 2024

Department of Gastroenterology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.

BACKGROUND Gastric bezoars are a relatively rare condition. We aim to summarize the clinical characteristics and endoscopic features of patients with gastric bezoars, and analyze the treatment process. MATERIAL AND METHODS The medical records of 44 patients with gastric bezoars treated at Henan Provincial People's Hospital from September 2017 to December 2023 were retrospectively reviewed.

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