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Updated: Jun 25, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Shall bowel obstruction caused by phytobezoar. Case report]
S Toccaceli1, A Donfrancesco, L Persico Stella
1Dipartimento di Chirurgia Generale, U.O.C. Chirurgia Generale M, Università degli Studi "La Sapienza" di Roma.
Bezoars are indigestible masses forming in the stomach, often linked to diet, bowel issues, or psychiatric conditions. Phytobezoars, a type of bezoar, commonly occur at the ileocecal valve, especially after gastric surgery.
Area of Science:
- Gastroenterology
- Digestive Health
- Surgical Pathology
Background:
- Bezoars are concretions of indigestible material within the gastrointestinal tract.
- Their formation is multifactorial, influenced by dietary components, gastrointestinal motility, and anatomical abnormalities.
- Psychiatric disturbances and endocrine disorders can also contribute to bezoar genesis.
Observation:
- Phytobezoars, a specific type of bezoar composed of plant matter, are the focus of this observation.
- These masses rarely lead to complete bowel obstruction.
- The ileocecal valve is the most common site for phytobezoar impaction.
Findings:
- Patients with a history of gastric surgery are at increased risk.
- Reduced masticatory ability, impairing initial food breakdown, is another significant risk factor.
- Endocrine disorders can also play a role in the development of bezoars.
Implications:
- Understanding the risk factors for phytobezoar formation is crucial for prevention and early diagnosis.
- Clinical awareness is needed, particularly in post-gastric surgery patients and those with impaired chewing.
- Further research into the role of diet and endocrine factors may elucidate preventative strategies.
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