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Pathogenetic aspects of persimmon bezoars. A case-control retrospective study
D Benharroch1, P Krugliak, A Porath
1Institute of Pathology, Soroka Medical Center of Kupat Holim, Beer-Sheva, Israel.
Journal of Clinical Gastroenterology
|September 1, 1993
Summary
Eating unpeeled persimmons significantly increases the risk of developing a persimmon phytobezoar, especially after peptic ulcer surgery. This study highlights the necessity of warning at-risk patients against consuming unpeeled persimmons to prevent bezoar formation.
Area of Science:
- Gastroenterology
- Surgical Outcomes
Background:
- Phytobezoars, particularly persimmon phytobezoars, are a known complication.
- Peptic ulcer surgery is a risk factor for bezoar development.
Purpose of the Study:
- To determine if unpeeled persimmon ingestion is necessary for persimmon phytobezoar formation.
- To quantify the risk associated with unpeeled persimmon consumption in post-ulcer surgery patients.
Main Methods:
- Case-control study comparing 15 patients with persimmon phytobezoars to 15 controls without bezoars.
- Both groups had undergone peptic ulcer surgery.
- Dietary history, focusing on unpeeled fruit consumption, was collected.
Main Results:
- Patients with bezoars were significantly more likely to have ingested unpeeled fruits (p < 0.01).
- Persimmon ingestion increased bezoar risk 9.8-fold.
- Unpeeled persimmon ingestion increased risk 56-fold compared to controls.
Conclusions:
- Ingestion of unpeeled persimmons is a critical factor in persimmon phytobezoar development.
- Patients with a history of peptic ulcer surgery should be strongly advised against eating unpeeled persimmons.
- Dietary modifications are crucial for preventing this surgical complication.