Gastric surgery and bezoars

We present a series of 56 patients with gastrointestinal bezoar following previous gastric surgery for gastroduodenal peptic ulcer. The following parameters were studied: factors predisposing to bezoar formation (type of previous surgery, alimentation, and mastication), form of clinical presentation...

Full description

Saved in:
Bibliographic Details
Published in:Digestive diseases and sciences 1992-11, Vol.37 (11), p.1694-1696
Main Authors: TEBAR, J. C, ROBLES CAMPOS, R, PARILLA PARICIO, P, LUJAN MOMPEAN, J. A, ESCAMILLA, C, LIRON RUIZ, R, PELLICER FRANCO, E. M
Format: Article
Language:English
Subjects:
Adult
Aged
Bezoars - epidemiology
Bezoars - etiology
Bezoars - mortality
Biological and medical sciences
Digestive System
Disease Susceptibility
Female
Humans
Male
Medical sciences
Middle Aged
Peptic Ulcer - surgery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - mortality
Retrospective Studies
Spain - epidemiology
Stomach - surgery
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We present a series of 56 patients with gastrointestinal bezoar following previous gastric surgery for gastroduodenal peptic ulcer. The following parameters were studied: factors predisposing to bezoar formation (type of previous surgery, alimentation, and mastication), form of clinical presentation, diagnostic tests, and treatment. A bilateral truncal vagotomy plus pyloroplasty had been performed previously on 84% of patients, 44% revealed excessive intake of vegetable fiber, and 30% presented with bad dentition. The most frequent clinical presentation was intestinal obstruction (80%). This was diagnosed mainly by clinical data and simple abdominal radiology. The main exploratory technique for diagnosing cases of gastric bezoar was endoscopy. Surgery is necessary for treating the intestinal forms, and one should always attempt to fragment the bezoar and milk it to the cecum, reserving enterotomy and extraction for cases where this is not possible. The small intestine and stomach should always be explored for retained bezoars. Gastric bezoars should always receive conservative treatment, endoscopic extraction, and/or enzymatic dissolution; gastrotomy and extraction should be performed when this fails.
ISSN:0163-2116
1573-2568
DOI:10.1007/BF01299861