Phytobezoar: A train can hide another

Mejri, Atef; Trigui, Emna

doi:10.1016/j.ijscr.2021.105814

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…Bezoars can be located in any part of the gastrointestinal (GI) tract, yet the stomach is the most common site [ 2 , 7 , 8 ]. Bezoars in the small intestine are either primarily formed there or have migrated from the stomach through the pyloric valve [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Generally, it appears that bezoars are usually identified in elderly people and people with reduced gastric or intestinal motility. The most consistent finding in people with phytobezoars is previous gastric surgery, such as vagotomy or partial gastrectomy, which results in decreased gastric motility and hypoacidity [ 8 , 13 , 14 , 15 ]. According to a retrospective study conducted by S. Yang and M.J. Cho, these patients have higher postoperative complication rates when surgical intervention to treat phytobezoars is necessitated [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report

Kosmidis,

Mystakidou,

Varsamis

et al. 2023

Medicina

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Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient’s clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient’s medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report

Kosmidis,

Mystakidou,

Varsamis

et al. 2023

Medicina

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“…Many previous reports have discussed various complications of gastric bezoar, including upper abdominal pain, gastrointestinal ulcers, perforation, ileus, and acute pancreatitis (1)(2)(3)(4)(5). Table shows the causes and risk factors of gastric bezoar (6, 7), classified as follows: phytobezoars, trichobezoars, lactobezoars, and pharmacobezoars (8).…”

Section: Introductionmentioning

confidence: 99%

Tannin-phytobezoars with Gastric Outlet Obstruction Treated by Dissolution with Administration and Endoscopic Injection of Coca-Cola<sup>®</sup>, Endoscopic Crushing, and Removal (with Video)

Kawaguchi

Iwatsubo

et al. 2022

Intern. Med.

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A 77-year-old man complained of postmeal vomiting and sustained general fatigue. An abdominal computed tomography scan showed massive gastric expansion and fluid storage. Gastroscopy revealed four gastric bezoars that were considered to have caused pyloric ring obstruction. The patient was asked to drink 500 mL per day of Coca-Cola for 4 days. On the fourth day, we performed endoscopic crushing and removal by injecting Coca-Cola , cutting the softened bezoar with endoscopic snares, and collecting the pieces with endoscopic nets. We herein report (with a video presentation) a rare case of tannin-phytobezoars endoscopically removed with the administration and injection of Coca-Cola .

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“…The risk factors for gastrolith occurrence include a history of gastric surgery, drinking alcohol, high blood pressure, diabetes, hypothyroidism, trichotillomania, anxiety, autumn and winter seasons, and residing in areas rich in hawthorns and persimmons[ 3 , 5 ]. The symptoms may include gastric outlet obstruction, abdominal pain, bloating, nausea, and vomiting[ 9 ]. Endoscopically, the condition often manifests as peptic ulcer, erosive gastritis, duodenitis, and reflux esophagitis[ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Endoscopically, the condition often manifests as peptic ulcer, erosive gastritis, duodenitis, and reflux esophagitis[ 5 ]. Common complications include gastric ulcer, gastric perforation, and intestinal obstruction[ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy

Xu¹,

Liu²,

Li³

et al. 2022

WJCC

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BACKGROUND Large gastric persimmon stones are generally resistant to standard endoscopic treatments. We applied an alternative endoscopic method using a hand-made snare for the treatment of large gastric phytobezoars. AIM To explore the clinical efficacy of a self-made wire loop snare to treat giant gastric persimmon stones. METHODS A retrospective study evaluated the clinical data of 38 patients with gastroliths admitted to Taihe Hospital in Shiyan City, Hubei Province, China, between March 2015 and October 2020. The patients were divided into observation ( n = 23) and control ( n = 15) groups. Patients in the observation group were treated with self-made wire loop snares for lithotripsy, and patients in the control group were treated with traditional foreign body forceps, snares, injection needles, and other tools. Successful stone removal, treatment time, and hospital stay were compared. RESULTS The average operating time was significantly shorter ( P < 0.001) in the observation group (53.4 min) than that in the control group (172.8 min). The average hospital stay of the observation group (5.4 d) was significantly shorter ( P < 0.001) than that in the control group (10.3 d). Successful one-time treatment was significantly more frequent ( P < 0.001) in the observation group (87%) than in the control group (7%). CONCLUSION Self-made guidewire loop snares were successfully used to treat gastrolithiasis, and were significantly more effective than foreign body forceps, snares, and other traditional methods.

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Phytobezoar: A train can hide another

Cited by 4 publications

References 12 publications

Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report

Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report

Tannin-phytobezoars with Gastric Outlet Obstruction Treated by Dissolution with Administration and Endoscopic Injection of Coca-Cola<sup>®</sup>, Endoscopic Crushing, and Removal (with Video)

Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy

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