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Related Experiment Videos

[Gastric phytobezoar]

A Sternberg1, D Coscas, Z Fireman

  • 1Gastroenterology Dept., Hillel Yaffe Medical Center, Hadera.

Harefuah
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

A large gastric phytobezoar was successfully removed using endoscopic snare therapy after surgical methods failed. Dietary modifications and prokinetic drugs aided recovery in this post-surgical patient.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Gastric phytobezoars are indigestible masses that can cause gastrointestinal obstruction.
  • Surgical history, such as vagotomy-pyloroplasty, can predispose patients to phytobezoar formation.

Observation:

  • A large (5 x 8 cm) gastric phytobezoar was diagnosed intraoperatively in a patient with a history of vagotomy-pyloroplasty.
  • Initial surgical attempts including crushing, lavage, and diathermy were unsuccessful in removing the phytobezoar.

Findings:

  • Complete phytobezoar removal was achieved through three endoscopic sessions utilizing a large snare and an overtube.
  • The patient was advised to avoid cellulose- and fiber-rich foods like persimmons and oranges.

Implications:

Related Experiment Videos

  • Endoscopic snare therapy offers a viable alternative for large gastric phytobezoars when surgical removal fails.
  • Post-removal management involving dietary changes and prokinetic agents (cisapride, domperidone, metoclopramide) is crucial for preventing recurrence.