The word “bezoar” corresponds to accumulation of undigestible foreign In the clinical practice, bezoars correspond to rare findings. Bezoar gástrico. Bezoar gástrico como complicación de la cirugía de obesidad mórbida. Caso clínico y revisión de la bibliografíaGastric food bezoar as a complication of bariatric. Request PDF on ResearchGate | On Jun 20, , Audel Pedroza and others published Bezoar gástrico de plástico como causa de.

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The authors present the case of a patient with a past history of gastric and duodenal surgery, admitted with vomiting, abdominal pain and distension, anorexia and weight loss. Upper gastrointestinal system endoscopy, as well as radiologic imaging methods such as direct abdominal radiography, barium-enhanced abdominal radiography, abdominal ultrasonography and computed abdominal tomography, is used for the diagnosis of gastrointestinal system phytobezoars.


Laboratory tests were compatible with normality. Small-bowel obstruction secondary to bezoar impaction: Please review our privacy policy.

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Gastric phytobezoar following gastrectomy. The fist intestinal loops were free Figure 1.

Footnotes Disclosures The authors report no conflicts of interest in relation to this work; specifically they have no affiliation and have received no payment from The Coca-Cola Company. There was a back- ground of trichophagia for 2 years without evidence of alopecia or psychiatric history.

The standard surgery is a laparotomy with gastrotomy. They are classified according to their composition.


Treatment of gastric phytobezoars with Coca-Cola® given via oral route: a case report

Currently, bezoars can be found in the gastrointestinal tract of several ruminants such as sheep, llamas, etc. Definitely the laparoscopic approach is ideal for patients without intestinal obstruction or hemodynamic instability. The bezoars although rare, when undiagnosed can lead to complications such as ulcers, gastric bleeding or perforation and obstruction.

Bezoars are usually discovered as an incidental finding on imaging performed for evaluation of nonspecific symptoms. The control gastrointestinal system endoscopy performed after 7 days showed that the phytobezoar had softened and become smaller. Laboratory investigation revealed anemia hemoglobin – 7. Gastrointestinal Endoscopy ; Loss of pylorus function, decreased gastric motility and acid secretion following gastric surgery, adhesions due to abdominal operations, inadequate mastication, and excessive consumption of herbal nutrients that contain abundant indigestible fibers are the most important ones.

Trichobezoar symptoms depend on the site and size of the mass, besides the degree of functional involvement of the affected segment. ABSTRACT The authors present the clinical case of a year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. Treatment of gastrointestinal system phytobezoars includes gastric lavage and endoscopic or surgical techniques.

Intestinal obstruction due to food. National Center for Biotechnology InformationU.

Imaging studies demonstrated the presence of a gastric foreign body bezzoar an “entangled appearance”. Surgical aspects of gastrointestinal persimmon phytobezoar treatment. Can Med Assoc J. The authors present the clinical case of a year old girl with weight loss, anorexia, epigastric abdominal pain and postprandial vomiting with 5 months duration. In the clinical practice, bezoars correspond to rare findings. Two cases of phytobezoars treated by administration of Coca-Cola by oral route.


It was then performed an abdominal tomography scan to exclude other bezoars in the small intestine that revealed the presence of a bulky bezoar difficult to characterize, occupying almost the entire gastric lumen and causing compression of neighboring structures Figs.

The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter. Gastric bezoar, small bowel bezoar, gastric surgery.

While the stomach is the most common location for phytobezoars, they can be found anywhere throughout the gastrointestinal system. DeBakey M, Oshner A.

The bezoar was quite hard and light green-yellow in color. The main surgical techniques include manual fragmentation and milking to cecum, gastrotomy, and enterotomy, as well as resectioning and anastomosis in complicated cases. Discussion Although the prevalence of bezoars has been reported as 0.

Introduction Bezoars are concretions of undigested or partially bezora foreign material in the gastrointestinal or genitourinary tract. The abdominal tomography scan and endoscopic examination revealed the presence of a bulky trichobezoar occupying almost the entire gastric lumen.

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