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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World J Gastroenterol ; A dark, “J-shaped” specimen with putrid odor and weighing grams was removed Figure 4.
Bezoar gástrico como complicación de banda gástrica en manejo de obesidad mórbida: Caso clínico
A year-old female patient presented with a chief complaint of upper abdominal pain. Pharmacobezoar gastric treatment with sodium alginate. She recovered well from the procedure without any complications, had a psychological evaluation and was symptom-free on discharge. Given the large mass causing gastric outlet obstruction and compression of neighboring structures it was decided to undergo laparotomy.
Small bowel obstruction secondary to bezoar: Direct abdominal radiography showed colonic gas shadows. 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.
After trichobezoar removal, prognosis is good if there is prevention of recurrence. On clinical examination she was pale and skinny.
Bezoars are classified according to their contents. These opinions include the mucolytic effect of NaHCO 3 in Coca-Cola, 25 permanent bezoa media provided by carbonic acid and phosphoric acid found in Coca-Cola, 20 and eased digestion caused by carbonic acid bubbles that penetrate into the bezoar through the microscopic pores on its surface.
There was a back- ground of trichophagia for 2 years without evidence of alopecia or psychiatric history. How to cite this article.
They are rare, with an estimated incidence of 0. SUMMARY Gastrointestinal bezoars are relatively uncommon findings and its distribution has a regional variation that correlates with differences in fibre enriched alimentary products gastrio.
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It was planned to break the remaining bezoar into pieces with Coca-Cola. World J Gastroenterol ; On the abdominal ultrasonography there was thickening of the gastric wall and antrum with gastric distension. Alsafwah S, Alzein M. Gastrointestinal Endoscopy ; The patient was referred to the center of diagnostic imaging, undergoing abdominal sonographic study that demonstrated an echogenic mass in the epigastric region with intense posterior acoustic shadowing. The first successful outcomes concerning endoscopic removal of gastric phytobezoars were published in by McKechnie.
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The main clinical symptoms and signs include abdominal pain, epigastric distress, nausea, vomiting, and obstruction of the small intestine. Como citar este artigo.
Introduction Gastrointestinal system bezoars are a rare clinical condition that is difficult to diagnose and treat. The patient presented a satisfactory progression and was discharged at the third postoperative day, being referred to the psychiatric ambulatory for follow-up. Surg Clin North Am. A bezoar is defined as an indigestible element trapped somewhere in the gastrointestinal tract, which can be ingested intentionally or accidentally. The present report describes the case of a female, year-old patient with a large epigastric mass who was submitted to clinical and imaging investigation and subsequent surgical management.
Gastric bezoars after gastrectomy. An endoscopic method for removal of duodenal phytobezoars. Upper gastrointestinal endoscopy is required to establish the diagnosis and to obtain samples to determine the composition of the bezoar.