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Gastrointestinal bezoars

R Robles1, P Parrilla, C Escamilla

  • 1Servicio de Cirugia General, Hospital Virgen de la Arrixaca, El Palmar, Murcia, Spain.

The British Journal of Surgery
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

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Gastrointestinal bezoars, often linked to prior surgery or diet, require tailored treatment. Gastric bezoars may be managed endoscopically, while intestinal bezoars causing obstruction necessitate fragmentation and milking techniques.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Context:

  • Gastrointestinal bezoars are rare but can cause significant morbidity.
  • Previous abdominal surgery, particularly vagotomy with pyloroplasty, is a common predisposing factor.
  • Dietary habits, including excessive fiber intake and poor mastication, also contribute to bezoar formation.

Purpose:

  • To analyze the clinical characteristics, diagnostic methods, and treatment outcomes of gastrointestinal bezoars.
  • To evaluate the efficacy of different management strategies for gastric versus intestinal bezoars.

Summary:

  • This study reviewed 117 gastrointestinal bezoars in 99 patients, identifying surgery and diet as key risk factors.
  • Gastric bezoars (30) were diagnosed via endoscopy and treated with fragmentation or surgery.

Related Experiment Videos

  • Intestinal bezoars (87) causing obstruction were diagnosed by radiography and managed with fragmentation and milking, with a recommendation to explore the stomach for concurrent bezoars.

    • Impact:

    • Highlights the importance of considering surgical history and dietary habits in patients presenting with bezoars.
    • Provides insights into the differential diagnosis and management of gastric and intestinal bezoars.
    • Suggests a combined approach for managing complex bezoar cases, emphasizing endoscopic and surgical interventions.