Gastric bezoar: Case report

Abstract

Bezoars are masses that arise in the gastrointestinal system from indigestible material such as food, hair, carpet fiber, or clothing. They are usually seen in patients with abnormal gastrointestinal system anatomy due to surgery, impairment of gastric emptying or mental retardation. Endoscopic therapy with fragmentation or enzymatic dissolution has been reported with varying degrees of success. Surgery is indicated when conservative therapy with chemical dissolution or endoscopic therapy is unsuccessful. Herein, we report two patients with gastric bezoar who were treated with surgery.

Keywords

• Bezoar, gastrointestinal system, endoscopy

Bezoar: Olgu sunumu

Öz

Bezoarlar gastrointestinal sistemde bulunan, hazmedilememiş gıda, lif veya saç örnekleri nedeniyle anatomi oluşan kitlelerdir. Özellıkle mental retarde veya gastrointestinal sistem anotomisinde bozukluk gelişen hastalarda daha sık görülür. Enzimatik eritme veya endoskopik parçalama gibi konservatif işlemlerin yanı sıra, başarısız olunan olgularda gecikmeksizin cerrahi tedavi uygulanmalıdır. Burada midesinde bezoar saptanmış ve cerrahi tedavi uygulanan iki olgu sunulmaktadır.

Anahtar Kelimeler

• Bezoar, gastrointestinal sıstem, endoskopi

Kaynakça

1. Singla SL, Rattan KN, Kaushik N, Pandit SK. Rapunzel syndrome-a case report. Am J Gastroenterol 1999;94:1970-1.
2. DeBakey M, Oshner A. Bezoars and concretions. Surgery 1938;4:934-63.
3. Holloway WD, Lee SP, Nicholson GI. The composition and dissolution of phytobezoars. Arch Pathol Lab Med 1980;104:159-61.
4. Robles R, Parrilla P, Escamilla C, et al. Gastrointestinal bezoars. Br J Surg 1994;81:1000-1.
5. Kamal I, Thompson J, Paquette DM. The hazards of vinyl glove ingesti- on in the mentally retarded patient with pica: new implications for sur- gical management. Can J Surg 1999;42:201-4.