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Nonpersimmon gastric phytobezoar. A benign recurrent condition
Archives of Internal Medicine
|May 1, 1984
Summary
This study on non-persimmon phytobezoars found they cause different symptoms than persimmon types but are effectively treated with medicine, though recurrence is possible. Patients experienced pain, nausea, and vomiting with a low risk of complications.
Area of Science:
- Gastroenterology
- Digestive Health
- Internal Medicine
Background:
- Phytobezoars are indigestible masses in the stomach, often from persimmon fruit.
- Limited clinical data exists for non-persimmon phytobezoars.
Purpose of the Study:
- To describe the clinical characteristics and outcomes of non-persimmon phytobezoars.
- To compare these findings with previously reported cases of persimmon phytobezoars.
Main Methods:
- Retrospective case series of 52 patients with non-persimmon phytobezoars.
- Analysis of patient symptoms, predisposing conditions, treatment, and outcomes.
- Comparison with existing literature on persimmon phytobezoars.
Main Results:
- Common symptoms included pain (67%), nausea/vomiting (50%), and gastric ulcers (14%).
- Two-thirds of patients had conditions affecting gastric motility.
- Medical therapy achieved a 91% dissolution rate; 19% experienced recurrence.
- No mortality was observed.
Conclusions:
- Non-persimmon phytobezoars present differently than persimmon phytobezoars.
- They carry a low risk of severe complications or death.
- Effective medical treatments are available, but recurrence is a notable risk.