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Related Experiment Videos

Gastric bezoars: treatment and prevention.

J A Rider, R F Foresti-Lorente, J Garrido

    The American Journal of Gastroenterology
    |May 1, 1984
    PubMed
    Summary

    Gastric bezoars, indigestible masses in the stomach, can form after surgery or with certain medications. A simple Water Pik jet stream via gastroscope effectively breaks up large phytobezoars.

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    Area of Science:

    • Gastroenterology
    • Endoscopic procedures

    Background:

    • Gastric bezoars are indigestible concretions that can form in the stomach.
    • They often arise secondary to gastric surgery, leading to impaired pyloric function, reduced gastric motility, and decreased acidity.
    • Cimetidine therapy is another identified risk factor for bezoar formation.

    Observation:

    • Patients commonly present with symptoms such as epigastric fullness, regurgitation, nausea, vomiting, and abdominal pain.
    • A large phytobezoar (a bezoar composed of plant material) was observed.
    • The bezoar impeded normal gastric function.

    Findings:

    • A novel, minimally invasive treatment approach was employed.
    • A Teledyne Water Pik jet stream, delivered through a gastroscope, was utilized.

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  • This method successfully fragmented the large phytobezoar.

    • Implications:

    • This endoscopic technique offers a simple and effective solution for managing large gastric bezoars.
    • The Water Pik method represents a potentially preferred treatment option for phytobezoars.
    • Wider adoption of this endoscopic approach could improve patient outcomes and reduce the need for more invasive procedures.