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Updated: Mar 2, 2026
The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
Published on: June 29, 2019
[A 67-year old man with epigastric pain]
A Greger1, W Hamelmann2, M Konermann3
1Medizinische Klinik, Marienkrankenhaus Kassel, Marburger Str. 85, 34127, Kassel, Deutschland. dr.andreas.greger@outlook.de.
Abstract:
A 67-year-old man suffering from epigastric pain showed a phytobezoar in the endoscopy. Therapy with Coca Cola® and enzymes was initiated. The (partial) lysis led to a migration of the bezoar into the ileum, resulting in a small bowel obstruction. After removal of the remaining bezoar via ileotomy a secondary pneumatosis intestinalis occurred. As a rare finding the (phyto-)bezoar should be considered as a differential diagnosis of abdominal pain - especially considering the rising numbers of bariatric surgery, which is a potential risk factor. Furthermore, intestinal obstruction after migration has to be considered as a relevant complication of treatment.
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