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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A year-old female patient presented with a chief complaint of upper abdominal pain. As her complaints had lasted for 1 month, an upper gastrointestinal system endoscopy was performed and discovered a bezoar in the stomach.
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The bezoar was quite hard and light green-yellow in color. Pathological examination revealed phytobezoar.
The upper gastrointestinal system endoscopy performed at the end of 7 days showed that the phytobezoar had softened and become smaller. The phytobezoar was broken into pieces with biopsy forceps and washing was applied, so the phytobezoar pieces could pass through the pylorus. The patient was discharged after the procedure without problem.
Gastrointestinal system bezoars are a rare clinical condition that is difficult to diagnose and treat. Bezoars are classified according to their contents. The most common type of gastrointestinal system bezoars are phytobezoars, which occur due to excessive consumption of herbal nutrients, including a high amount of indigestible fibers.
Radiological imaging methods and upper gastrointestinal system endoscopy are used in the diagnosis of phytobezoars. Treatment of gastrointestinal system phytobezoars includes gastric lavage and endoscopic or surgical techniques.
Her physical examination revealed epigastric pain and tenderness, as well as audible rumbling sounds from the area over the stomach.
Her laboratory results were within the normal ranges leukocyte 4.
Bezoar gástrico como complicación de banda gástrica en manejo de obesidad mórbida: Caso clínico
Direct abdominal radiography showed colonic gas shadows. Her diabetes, as well as dental prosthesis were risk factors for bezoar formation. Breaking the bezoar was attempted, using a polypectomy snare or biopsy forceps, but this failed. Two broken pieces were removed and sent for pathological examination. It was planned to break the remaining bezoar into pieces with Coca-Cola. The patient was hospitalized and oral feeding was discontinued.
Since the patient refused the application of a nasogastric catheter, she drank the Coca-Cola Zero orally at a dose of mL three times daily. Pathological examination of the materials removed during the first endoscopy revealed a material composed of herbal fibers and food residue.
The control gastrointestinal system endoscopy performed after 7 days showed that the phytobezoar had softened and become smaller. The phytobezoar mass was broken into pieces with biopsy forceps and washing was applied so the phytobezoar pieces could pass through the pylorus Figure 3. Oral feeding was started, and the patient was bezlar and asked to return for a checkup after 1 week.
Gastruco month following the procedure, the patient was asymptomatic. Although the prevalence of bezoars has been reported bezoag 0. Phytobezoar gasttico the most common type and are composed of herbal nutrients.
Celery, grape, prune, persimmon, bzeoar pineapple are the main nutrients responsible for the phytobezoars. These nutrients contain abundant indigestible fibers such as cellulose, hemicellulose, lignin, and fruit gastroco. There are various predisposing bzeoar for the development of gastrointestinal system phytobezoars.
Loss of pylorus function, decreased gastric motility and acid secretion following gastric surgery, adhesions due to abdominal operations, inadequate mastication, and excessive consumption of herbal nutrients that contain abundant indigestible fibers are the most important ones.
The main clinical symptoms and signs include abdominal pain, epigastric distress, nausea, vomiting, and obstruction of the small intestine. The patients may additionally develop feelings of distension and dyspepsia, dysphagia, poor appetite and weight loss, and gastrointestinal system bleeding. While the stomach is the most common location for phytobezoars, they can be found anywhere throughout the gastrointestinal system.
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.
Gastric lavage and endoscopic or surgical techniques can be used in the treatment of gastrointestinal system phytobezoars. The first successful outcomes concerning endoscopic removal of gastric gasstrico were published in by McKechnie.
The main surgical techniques include manual fragmentation and milking to cecum, gastrotomy, and enterotomy, as well as resectioning and anastomosis in complicated cases.
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 gadtrico by irrigating the stomach with three liters of Coca-Cola given through a nasogastric tube within 12 hours. The manner that treatment with Coca-Cola functions remains unclear and various opinions have been suggested.
These opinions include the mucolytic effect of NaHCO 3 in Coca-Cola, gastrkco permanent acid media provided hastrico carbonic acid and phosphoric acid found in Coca-Cola, 20 and gaxtrico digestion caused by carbonic acid bubbles that penetrate into the bezoar through the microscopic pores on its surface.
The major complication of breaking therapy via gastric lavage is the bezoxr of the small intestine that is seen after incomplete breaking. Ha et al showed intestinal obstruction resulted from incomplete breaking of gastric phytobezoars. In conclusion, breaking phytobezoars into pieces using Coca-Cola should be kept in mind as an easy to apply, cheap, beozar effective method for treatment.
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. Written informed consent was obtained from the patient for publication of this research and accompanying images. National Center for Biotechnology InformationU. Int J Gen Med. Published online Feb Author information Copyright and License information Disclaimer. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
This article has been cited by other articles in PMC. Abstract Background A year-old female patient presented gastrco a chief complaint of upper abdominal pain. Case presentation The bezoar was quite hard and light green-yellow in color.
Conclusion The upper gastrointestinal system endoscopy performed at the end of 7 days showed that the phytobezoar had softened and become smaller. Introduction Gastrointestinal system bezoars are a rare clinical condition that is difficult to diagnose and treat. Open in a separate window.
Discussion Although the prevalence of bezoars has been reported as 0. 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. Alsafwah S, Alzein M. Small gasrico obstruction due to trichobezoar: An endoscopic method for removal of duodenal phytobezoars.
Small bowel obstruction due to phytobezoar: Gastric bezoars after gastrectomy. Phytobezoars following gastric surgery for duodenal ulcer. Surg Clin North Am. Small bowel obstruction secondary to bezoar: Surgical aspects of gastrointestinal persimmon phytobezoar treatment. Intestinal obstruction due to food. Intestinal obstruction due to phytobezoars: Small bowel obstruction secondary to enzymatic digestion of a gastric bezoar.
Food bolus — an uncommon cause of small intestinal obstruction. Gastroscopic removal of a phytobezoar. Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage. Eur J Gastroenterol Hepatol. Stanten A, Peters HE. Enzymatic dissolution of phytobezoars. Huge gastric diospyrobezoars successfully treated by oral intake and endoscopic injection of Coca-Cola. Two cases of phytobezoars treated by administration of Coca-Cola by oral route.
Giant gastric trichobezoar: a case report and literature review