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Published on: March 20, 2017
Diospyrobezoar Formation in Patient With Sleeve Gastrectomy
Charleston R Powell1, Jared S Magee2, Ioannis B Papadopoulos3
1Internal Medicine, Weed Army Community Hospital, Fort Irwin, USA.
Abstract:
The ingestion of Asian persimmons, Diospyros kaki, is a known cause of gastric bezoars. Patients with a history of gastric operations are at high risk for formation. Different forms of bariatric surgery have been implicated, but literature for bezoar following a sleeve gastrectomy is scarce. This case report describes the pathogenesis, clinical course, and definitive management of gastric diospyrobezoar following a sleeve gastrectomy. With the rising incidence of bariatric procedures being performed, providers should include bezoar in the differential diagnosis in patients with suspected gastric outlet obstruction and should be aware of treatment options for this patient population.
Insights
Asian persimmon (Diospyros kaki) ingestion can cause gastric bezoars, especially after gastric surgery. This case highlights diospyrobezoar formation after sleeve gastrectomy, emphasizing diagnostic and management considerations.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gastric bezoars are concretions that form in the stomach.
- Asian persimmons (Diospyros kaki) are a common cause of phytobezoars.
- Patients with prior gastric surgery, particularly bariatric procedures, are at increased risk.
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