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.

Author: Nikohn Bale
Country: Austria
Language: English (Spanish)
Genre: Politics
Published (Last): 20 September 2004
Pages: 447
PDF File Size: 15.1 Mb
ePub File Size: 1.22 Mb
ISBN: 999-6-29477-719-9
Downloads: 46741
Price: Free* [*Free Regsitration Required]
Uploader: Dat

Gaetrico J Intern Med. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. She had no distortion of body image or eating pattern changes. Bezoars are classified according to their contents. 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.

There was a problem providing the content you requested

Conflict of interest The authors have no conflicts of interest to declare. Introduction Bezoars are concretions tastrico undigested or partially digested foreign material in the gastrointestinal or genitourinary tract. The patient was hospitalized and oral feeding was discontinued. 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 patient presented a satisfactory progression and was discharged at bezaor third postoperative day, being referred to the psychiatric ambulatory for follow-up.

Two cases of phytobezoars treated by administration of Coca-Cola by oral route. Author information Copyright and License information Disclaimer.


Bezoar | Radiology Reference Article |

Gastroscopic removal of a phytobezoar. The main clinical symptoms and signs include abdominal pain, epigastric distress, nausea, vomiting, and obstruction of the small intestine.

Enzymatic dissolution of phytobezoars. The bezoar was quite hard and light green-yellow in color. Since the patient refused the application gatsrico a nasogastric catheter, she drank the Coca-Cola Zero orally at a dose of mL three times daily.

Stomach; foreign-body migration; pancreatitis; diagnosis; differential; therapeutics; laparoscopy.

Bezoar gástrico como complicación de banda gástrica en manejo de obesidad mórbida: Caso clínico

Written informed consent was obtained from the patient for publication of this research and accompanying images. Stomach trichobezoars may cause nonspecific dyspeptic symptoms hezoar as post-prandial abdominal pain, nausea and emesis, halitosis, gasteico bleeding, anemia and malnutrition 2,5. Bezoars are concretions of undigested or partially digested foreign material in the gastrointestinal or genitourinary tract.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Psychiatric illness, suicidal tendencies and mental retardation are common associations with trichobezoar hair bezoar.

Additionally to the classical trichobezoar hair bolus and phytobezoar concretion of vegetable fibersbezoars may also present different compositions such as stones, plastic, cotton, medicines anti-acids and resin fibers 1,3,4. These nutrients contain abundant indigestible fibers such as cellulose, hemicellulose, lignin, and fruit particles.

Phytobezoars following gastric surgery for duodenal ulcer. Breaking the bezoar with Coca-Cola, which was first reported in by Ladas et al, has been performed in five patients and successful outcomes have been obtained by irrigating the stomach with three liters of Coca-Cola given through a agstrico tube within 12 hours. Trichobezoar symptoms depend on the site and size of the mass, besides the degree of functional involvement of the affected segment.


Bezoars were considered as extremely powerful amulets. Received April 19, Abdomen radiograph showed marked gastric distension with gastric camera barely visible Fig.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. The phytobezoar was broken into pieces with biopsy forceps and washing was applied, so the phytobezoar pieces could pass through the pylorus.

Surgical aspects of gastrointestinal persimmon phytobezoar treatment. Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola. Pathological examination of the materials removed during the first endoscopy revealed a material composed of herbal fibers and food residue. The main surgical techniques include manual fragmentation gaztrico milking to cecum, gastrotomy, and enterotomy, as well as resectioning and anastomosis in complicated cases.

There was an epigastric mass of stony consistency, bulky, with poorly defined limits, painful on palpation and about 7 cm diameter.

For patients with bezoars that fail to dissolve after two attempts at chemical dissolution or are resistant to chemical dissolution trichobezoars or moderate to severe symptoms due to large bezoars, it is suggested endoscopic therapy. The patients may additionally develop feelings of distension and dyspepsia, dysphagia, poor appetite and weight loss, and gastrointestinal system bleeding. Bezoars symptoms are highly variable, depending on their site and size.