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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Bezoar in upper gastrointestinal endoscopy: A single center experience.

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Bezoars, often found in the stomach, are linked to gastrointestinal surgery history, diabetes, and psychiatric disorders. Endoscopic treatment is highly successful for bezoar removal.

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Digestive Diseases

Background:

  • Bezoars are concretions that form in the gastrointestinal tract.
  • Risk factors and endoscopic findings associated with bezoars require further investigation.

Purpose of the Study:

  • To investigate the association of bezoar with endoscopic findings.
  • To identify risk factors for bezoar occurrence.
  • To evaluate the success of endoscopic treatment for bezoars.

Main Methods:

  • Retrospective study of 8200 endoscopy records from January 2012 to December 2015.
  • Included 66 patients diagnosed with bezoar.
  • Analyzed patient demographics, risk factors, endoscopic findings, and treatment outcomes.

Main Results:

  • Most frequent risk factors included gastrointestinal surgery history (23%), diabetes mellitus (17%), and trichophagia (9%).
  • Common endoscopic findings were gastric ulcer (27%), erosive gastritis (20%), and reflux esophagitis (23%).
  • Phytobezoars were most common (91%), predominantly in the stomach (70%). Endoscopic removal success rate was 86.5%.

Conclusions:

  • Bezoars are associated with gastrointestinal surgery, diabetes mellitus, and psychiatric disorders.
  • A strong relationship exists between bezoars and peptic ulcer disease and reflux esophagitis.
  • Endoscopic intervention offers a successful treatment modality for bezoar management.