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Related Experiment Videos

Gastrointestinal phytobezoars in Africans.

A C Wicks, G E Thomas, D J Clain

    The American Journal of Gastroenterology
    |November 1, 1975
    PubMed
    Summary

    This study reports fourteen gastrointestinal phytobezoars in Africans, a previously undocumented occurrence. Gastric phytobezoars often mimicked stomach cancer, with endoscopy crucial for accurate diagnosis.

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    Area of Science:

    • Gastroenterology
    • Pathology
    • Surgical Case Reports

    Background:

    • Phytobezoars, indigestible masses of vegetable matter, are rare gastrointestinal foreign bodies.
    • Previous reports on phytobezoars in African populations are notably absent.
    • Understanding the presentation and diagnosis of phytobezoars is crucial for effective patient management.

    Observation:

    • Fourteen cases of gastrointestinal phytobezoars were identified and analyzed.
    • Eleven phytobezoars were located in the stomach, presenting as mobile filling defects.
    • Three phytobezoars caused acute intestinal obstruction in the ileum.

    Findings:

    • Gastric phytobezoars commonly mimicked peptic ulceration or gastric carcinoma on barium meal imaging.
    • Fiberoptic endoscopy was essential in correctly diagnosing two cases initially suspected of gastric carcinoma.
    • The phytobezoars were primarily composed of vegetable material from tubers or rhizomes.
    • Ileal phytobezoars, likely from incompletely masticated maize porridge, led to intestinal obstruction.

    Implications:

    • This study highlights the significance of phytobezoars in African patients, necessitating increased clinical awareness.
    • Endoscopic and radiological evaluations are critical for differentiating phytobezoars from gastric malignancies.
    • Dietary habits, such as the consumption of poorly masticated maize, may contribute to phytobezoar formation and subsequent intestinal obstruction.

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