Each worm to his taste: some prefer to eat nettles – a giant gastric phytobezoar

Gachabayov, Mahir; Abdullaev, Abakar; Mityushin, Petr; Gilyazov, Timur

doi:10.1002/ccr3.593

Cited by 4 publications

(7 citation statements)

References 11 publications

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“…Intragastric bezoars can be asymptomatic or exist with a variety of GI symptoms such as nausea, vomiting, delayed gastric emptying, and weight loss. [ 16 ] Intragastric bezoars can also cause gastric ulcers, gastric outlet obstruction, peritonitis, and rarely gastric perforation. [ 10 , 16 ] Thus, early diagnosis and treatment of intragastric bezoars are vigorous to avoid bezoar-induced complications.…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] Intragastric bezoars can also cause gastric ulcers, gastric outlet obstruction, peritonitis, and rarely gastric perforation. [ 10 , 16 ] Thus, early diagnosis and treatment of intragastric bezoars are vigorous to avoid bezoar-induced complications. Symptoms related to GI bleeding such as hematemesis, bloodstained stool, anemia, and fainting are the result of the gastric ulceration due to pressure necrosis caused by the bezoar.…”

Section: Discussionmentioning

confidence: 99%

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Etiological aspects of intragastric bezoars and its associations to the gastric function implications

Khan¹,

Khan

Ullah

et al. 2018

Medicine

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Rationale:Intragastric bezoar is a stony mass found trapped in the stomach, though it can occur in other locations of the gastro-intestinal tract. The etiology of intragastric bezoar is multifactorial, includes certain risk factors and predisposing factors such as coexisting medical disorders, anatomic abnormalities, and gastric motility disorders, which contribute to the development of intragastric bezoar.Patient concerns:In this report, we present a rare case of intragastric bezoar with epigastric pain after prolonged consumption of jujubes. To our knowledge, this is the first case of intragastric bezoar to be reported after jujubes ingestion.Diagnoses:An upper gastrointestinal (GI) endoscopy performed which revealed an 8 × 5-cm intragastric diospyrobezoar with an adjacent necrotic pressure ulcer of size 0.8 × 0.5-cm without signs of bleeding.Interventions:For therapeutic intervention, Coca-Cola ingestion and lithotripsy were applied.Outcomes:The therapeutic course was uneventful. There was no recurrence during 1-year follow-up.Lessons:In our literature, jujube emerged as a new player. A bezoar composed of unripened fruit content in the stomach, could be the cause of chronic abdominal pain, dyspepsia, gastric reflux or heartburn. Moreover, this study provides a detailed overview of recently published literature regarding intragastric manifestations of bezoar, etiological factors, diagnostic and therapeutic approaches.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Etiological aspects of intragastric bezoars and its associations to the gastric function implications

Khan¹,

Khan

Ullah

et al. 2018

Medicine

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“…Though this suggestion is appropriate for wider consumers and especially the aged population [45], the people with previous gastric surgeries should avoid high-fiber intake because they are more likely to form gastric phytobezoars. These fibers are found in fruits and vegetables including celery, pumpkin, green beans, prunes, raisins, leeks, beets, and sunflower seed shells that are merged into a mass and most often contribute to the development of gastric bezoar [3]. A specific kind of phytobezoar named a diospyrobezoar is made from unripened persimmons, coconuts, and jujubes [1, 5].…”

Section: Risk Factorsmentioning

confidence: 99%

“…They are rarely suspected by referring clinicians except in psychiatric patients. They often cause ulceration due to pressure necrosis, pyloric obstruction, peritonitis, and rarely perforation [2, 3, 58] (Figures 1(a) and 1(b)). Therefore, prompt diagnosis and early management of gastric bezoars are essential.…”

Section: Diagnostic Workupmentioning

confidence: 99%

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Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

Khan

Jiang

Zhu

et al. 2019

Gastroenterology Research and Practice

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A gastric bezoar is a compact mass of indigestible foreign materials that accumulate and consolidate in the stomach; however, it can be found in other sites of the gastrointestinal tract. The causative manner of this condition is complex and multifactorial. The main purpose of the review was to raise awareness among clinicians, particularly gastroenterologists, that patients with certain risk factors or comorbid conditions are predisposed to gastric bezoar formation. Early diagnosis and prompt intervention are crucial to avoid bezoar-induced complications. Upper gastrointestinal endoscopy is the standard diagnostic and therapeutic method for gastric bezoars. However, for large size bezoars, surgical intervention is needed.

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Laparoscopically Treated Giant Gastric Bezoar Complicated with Large Ulcer in Young Patient

Ulusoy

Nikolovski²,

Yavuz

et al. 2021

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Gastric bezoars are rare but well known intraluminal formations in the gastrointestinal system. Reports for gastric bezoar treatment include dissolution, endoscopic retrieval and surgery (open and laparoscopic). We are presenting a case of 32 years old male patient presented with giant gastric bezoar complicated with large ulcer. The patient was operated laparoscopically with success. Laparoscopic surgery is safe alternative to open surgery for giant gastric bezoars treatment.

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Each worm to his taste: some prefer to eat nettles – a giant gastric phytobezoar

Cited by 4 publications

References 11 publications

Etiological aspects of intragastric bezoars and its associations to the gastric function implications

Etiological aspects of intragastric bezoars and its associations to the gastric function implications

Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

Laparoscopically Treated Giant Gastric Bezoar Complicated with Large Ulcer in Young Patient

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