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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For patients with mild symptoms due to gastric bezoars, it is suggested initial treatment with chemical dissolution.
Diagn Interv Radiol ; Support Center Support Center. The word “bezoar” corresponds to accumulation of undigestible foreign substances along the digestive tract, most commonly found in the stomach and proximal portions of the small bowel 1,2. Her laboratory results were within the normal ranges leukocyte 4. The patient was ggastrico to laparotomy and gastrotomy for removal of the gastric foreign body, with transoperative finding of a large stomach with intact walls and preserved mucosa.
Small-bowel obstruction secondary to bezoar impaction: Gastrointestinal system bezoars are a rare clinical condition that is difficult to diagnose and treat. The main surgical techniques include beozar fragmentation and milking to cecum, gastrotomy, and enterotomy, as well as resectioning and anastomosis in complicated cases. There was no dehydration, halitosis or lymphadenopathy.
Large trichobezoars require surgical management by means of gastrotomy as the method of choice, always in association with psychiatric follow-up 1,4.
Large gastric trichobezoar in a normal healthy woman: The major complication of breaking therapy via gastric lavage is the obstruction of gasyrico small intestine that gaastrico seen after incomplete breaking.
Conflict of interest The authors have no conflicts of interest to declare. It is known that patients with mild pathological psychiatric symptoms, such ggastrico sporadic trichophagia, may present worsening of symptoms as they are submitted to strong emotional burden like during gestation 4. Bezoars may present different compositions, although classically the most frequently found forms correspond to trichobezoars agglomeration of hair and phytobezoars agglomeration of vegetable fibers 1,3,4.
The fist intestinal loops were free Figure 1. Newman B, Girdany BR. Endoscopic management of a new entity-plastobezoar: Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage.
Treatment of gastric phytobezoars with Coca-Cola® given via oral route: a case report
Development of bezoars is usually associated with predisposing risk factors. Korean J Intern Med. Although gastric bezoars are rare conditions, and furthermore so plastic bezoars, it is important to take them into account as a rare cause of acute pancreatitis. Surg Clin North Am. Additionally it must be considered that the finding of a palpable mass during the gestation is masked by the large uterine volume.
Her history revealed significant trichophagia for 2 years without bfzoar of alopecia or psychiatric history. Abstract Background A year-old female patient presented with a chief complaint of upper abdominal pain. 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.
Gastric plastic bezoar causing acute pancreatitiscase report and literature review.
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Bezoars symptoms are highly variable, depending on their site and size. Int J Gen Med. In the present case, the pregnancy may have accelerated the development of the trichobezoar resulting from beoar trichophagia worsening in association with the gastrointestinal hypomotility that is a typical physiological phenomenon during gestation.
The manner that treatment with Coca-Cola functions remains unclear and various opinions have been suggested. Phytobezoar is the most common type and are composed of herbal nutrients. Stanten A, Peters HE.
Radiological imaging methods and upper bbezoar system endoscopy are used in the diagnosis of phytobezoars. Written informed consent was obtained from the patient for publication of this research and accompanying images.
Discussion Bezoars are usually discovered as an incidental finding on imaging performed for evaluation of nonspecific symptoms. On clinical examination she was pale and skinny. 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.
She is symptom-free at 6-year follow-up and had no recurrence of trichophagia. The patient was discharged after bezlar procedure without problem.
Pharmacobezoar complicating treatment with sodium alginate. As her complaints had lasted for 1 beezoar, an upper gastrointestinal system endoscopy was performed and discovered a bezoar in the stomach. Open in a separate window.
Other therapies include extracorporeal shock wave lithotripsy, NdYaG laser and laparoscopic removal. How to cite this article.