Esophageal bezoar due to karaya gum granules used as a laxative

Yeoh, Sern Wei

doi:10.1007/s12328-017-0764-x

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…Esophageal bezoar formation is associated with structural or functional problems, such as previous GI surgery, GI stricture, and achalasia, which are risk factors for increased esophageal transit time[ 2 , 3 ]. Additionally, excessive persimmon ingestion or psychiatric disease may be related to esophageal bezoar formation[ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bezoar is a mass of hardened external material found in the gastrointestinal (GI) tract[ 1 ]. It is commonly found in the stomach, small intestine, and colon; however, esophageal bezoar is rare because the short esophageal transit time does not allow one to form[ 2 ]. Esophageal bezoar can be successfully removed by endoscopic intervention; however, bezoar removal requires attention because of the high failure rate of conservative or endoscopic intervention when mechanical obstruction is complicated[ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Acute esophageal obstruction after ingestion of psyllium seed husk powder: A case report

Shin¹,

Kim²,

Mun³

et al. 2022

WJCC

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BACKGROUND Bezoar is a mass of hardened external material found in the gastrointestinal (GI) tract. It may form anywhere in the GI tract, but esophageal bezoar is rare because of the short esophageal transit time. Psyllium seed husk is an indigestible natural derivative that is widely used as an herbal laxative. Herein, we report a case of acute esophageal obstruction caused by a bezoar after ingestion of psyllium seed husk powder. CASE SUMMARY A 76-year-old male with Parkinson's disease visited the emergency department with swallowing difficulty approximately 10 h after ingesting psyllium seed husk powder. Symptoms began a few hours after ingestion and progressed to severe dysphagia. There were no abnormal findings on simple radiography. However, a computed tomography scan revealed an approximately 2.0 cm × 2.5 cm mass located near the gastro-esophageal junction. After grinding, the mass was removed using an endoscopic capture net. Esophageal bezoars may cause life-threatening complications. Patients with Parkinson's disease may have esophageal motility dysfunction, which may increase esophageal transit time. Since our patient had Parkinson's disease, this effect may have contributed to the formation of the bezoar. CONCLUSION Attention should be paid to using bulk-laxatives, and an appropriate specified regimen will be needed when marketed as a dietary supplement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute esophageal obstruction after ingestion of psyllium seed husk powder: A case report

Shin¹,

Kim²,

Mun³

et al. 2022

WJCC

View full text Add to dashboard Cite

show abstract

“…Meanwhile, dysphagia is the most common symptom which urges patients to seek medical treatment. Benign esophageal strictures can occur following peptic strictures[8], eosinophilic esophagitis[9], achalasia[10], pill-injury esophageal strictures[11], caustic strictures[12], anastomotic strictures[13], Crohn's disease-associated esophageal stricture[14], IgG4-related esophagitis[15], radiation-induced esophageal strictures[16], esophageal intramural pseudodiverticulosis[17], or epidermolysis bullosa[18] (Table 1). It is generally known that a malignant esophageal stricture refers to esophageal cancer.…”

Section: Discussionmentioning

confidence: 99%

“…It is generally known that a malignant esophageal stricture refers to esophageal cancer. Some esophageal strictures can be treated by drug therapy such as with proton pump inhibitors or steroids[9,11,15,17], while others can be refractory to most optical endoscopic therapies such as dilation[15,16,18], stent placement[13], or peroral endoscopic myotomy.…”

Section: Discussionmentioning

confidence: 99%

Use of tunnel endoscopy for diagnosis of obscure submucosal esophageal adenocarcinoma: A case report and review of the literature with emphasis on causes of esophageal stenosis

Liu¹,

Wang²,

Yang³

et al. 2019

WJCC

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BACKGROUND The tunnel endoscopic technique is the treatment of choice for submucosal tumors. However, the use of tunnel endoscopy to diagnose adenocarcinoma of the esophagus originating from the submucosa has not been well studied. CASE SUMMARY A 74-year-old man who presented with dysphagia for half a year underwent a series of checks, such as gastroendoscopy, X-ray contrast examination of the upper digestive tract, endoscopic ultrasonography, high-resolution esophageal manometry, and positron emission computed tomography. It should be noted that the stenosis of the esophagus was too narrow for endoscopic ultrasound-guided fine needle aspiration. The cause remained undiagnosed. Eventually, the tunnel endoscopic technique was perform for the pathological examination in the submucosa and the final diagnosis was adenocarcinoma of the esophagus. The patient and family members chose expectant treatment due to the patient’s age and the high costs of surgical treatment. CONCLUSION Tunnel endoscopy could be used to diagnose tumors. Moreover, we review the literature to provide guidance regarding the causes of esophagostenosis.

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Sterculia

2017

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Esophageal bezoar due to karaya gum granules used as a laxative

Cited by 4 publications

References 28 publications

Acute esophageal obstruction after ingestion of psyllium seed husk powder: A case report

Acute esophageal obstruction after ingestion of psyllium seed husk powder: A case report

Use of tunnel endoscopy for diagnosis of obscure submucosal esophageal adenocarcinoma: A case report and review of the literature with emphasis on causes of esophageal stenosis

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