The word “bezoar” corresponds to accumulation of undigestible foreign In the clinical practice, bezoars correspond to rare findings. Bezoar gástrico. Bezoar gástrico como complicación de la cirugía de obesidad mórbida. Caso clínico y revisión de la bibliografíaGastric food bezoar as a complication of bariatric. Request PDF on ResearchGate | On Jun 20, , Audel Pedroza and others published Bezoar gástrico de plástico como causa de.

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The bezoar was quite hard and light green-yellow in color. The optimal strategy is controversial in the absence of studies comparing different modalities. Surg Clin North Am. Upper digestive endoscopy is the technique of choice for diagnosing gastric bezoars, constituting a therapeutic method in selected cases 1,5.

The authors present the case of a patient with gastfico past history of gastric and duodenal surgery, admitted with vomiting, abdominal pain and distension, anorexia and weight loss. Our patient had a history of trichophagia and psychological management to control her psychiatric disorder was successful and at 6-year follow-up she is symptom free and had no further recurrence of trichobezoar.

Computed tomography plays a relevant role in the diagnosis of such cases, demonstrating expansile, concentric and compressive mass in the stomach lumen, filled with air and debris 5.

Basically, the treatment consists of surgical resection and recurrence prevention 5. Discussion Although the prevalence of bezoars has been reported as 0. A bezoar is defined as an indigestible element trapped somewhere in the gastrointestinal tract, which can be ingested intentionally or accidentally. How to cite this article. Bezoars; Gastric dilatation; Gastric outlet obstruction; Dyspepsia.


This article has been cited by other articles in PMC. The main surgical techniques include manual fragmentation and milking to cecum, gastrotomy, and enterotomy, as well as resectioning and anastomosis in complicated cases.

Tricobezoar: Uma Causa Rara de Massa Abdominal e Obstrução Gástrica

Large trichobezoars require surgical management ebzoar means of gastrotomy as the method of choice, always in association with psychiatric follow-up 1,4. Introduction Bezoars are concretions of undigested or partially digested foreign material in the gastrointestinal or genitourinary tract. The standard surgery is a laparotomy with gastrotomy. Eur J Gastroenterol Hepatol. Breaking the bezoar with Coca-Cola, which was first reported in by Ladas et al, has been performed in five patients and successful outcomes have been obtained by irrigating the stomach with three liters of Coca-Cola given through a nasogastric tube within 12 hours.

Its true incidence is unknown but its occurrence shows a growing tendency, which is probably related with the higher number of gastroduodenal surgeries performed in the past century, considered to be risk factors for bezoar formation.

Pathological examination revealed phytobezoar. The suspicion of a trichobezoar was confirmed by upper digestive endoscopy that demonstrated the presence of a foreign body described as a “hair brzoar hindering endoscopic access Figure 3. Phytobezoar is the most common type and are composed of herbal nutrients.

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Gastrointestinal bezoars are relatively uncommon findings and its distribution has a regional variation that correlates with differences in fibre enriched alimentary products ingestion. Gastric plastic bezoar causing gatrico pancreatitiscase report and literature review. There was a back- ground of trichophagia for 2 years without evidence of alopecia or psychiatric hezoar.


Development of bezoars is usually associated with predisposing risk factors. She denied the presence of fever, altered bowel habits or visible blood loss. Korean J Intern Med.

The patient reported a normal term delivery one month ago. On clinical examination she was pale and skinny. Treatment of gastrointestinal system phytobezoars includes gastric lavage and endoscopic or surgical techniques. The authors describe the case of a palpable epigastric mass associated with dyspeptic symptoms in a young female patient with no previous pathologic history.

Large gastric trichobezoar in a normal healthy woman: Diagn Interv Radiol ; An endoscopic method for removal of duodenal phytobezoars. Duodenal date seed bezoar: She is symptom-free at 6-year follow-up and had no recurrence of trichophagia.

Bezoars are concretions of undigested or partially digested foreign material in the gastrointestinal or genitourinary tract. Stomach trichobezoars may cause nonspecific dyspeptic symptoms such as post-prandial abdominal pain, nausea and emesis, halitosis, gastrointestinal bleeding, anemia and malnutrition 2,5.

Persimmon bezoar successfully treated by oral Intake of Coca-Cola: Small bowel obstruction secondary to enzymatic digestion of a gastric bezoar.

Treatment of gastric phytobezoars with Coca-Cola® given via oral route: a case report

Gastrointestinal Endoscopy ; Alsafwah S, Alzein M. The patient presented a satisfactory progression and was discharged at the third postoperative day, being referred to the psychiatric ambulatory for follow-up. Small bowel obstruction secondary bezoxr bezoar: