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Gastric bezoars.

Akbulut S, Değer KC, Duman M, Yol S - Prz Gastroenterol (2016)

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Kartal Koşuyolu High Specialty Education and Research Hospital, Istanbul, Turkey.

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It can be presented with anaemia, haematemesis, nausea, vomiting, and weight loss... Iron deficiency anaemia, which is widely common in patients with trichobezoar, is mostly a direct outcome of some gastric ulcers caused by the pressure effect of mass... Bezoars can cause gastrointestinal complications like bleeding, gastric outlet obstruction, and ileus... A mentally retarded 51-year-old female patient was admitted to our hospital for symptoms of epigastric pain, nausea, vomiting, and weight loss (10 kg in the preceding year) over the course of the previous 3 years and aggravated in the previous month... She had a hair- and nail-eating habitat... Bezoars were fractionated by polypectomy snare catheter and extracted in two sessions... There are different alternative treatment methods such as liquid diet, prokinetic agents, dissolution of bezoar, and endoscopic or surgical extraction... Coca-Cola may be administered orally or via endoscopy for dissolution of phytobezoars; however, it is not effective on its own and must be given together with a prokinetic agent like metoclopramide... Because trichobezoars are so hard, prokinetic agents and solvents are usually ineffective... Biopsy forceps, alligator forceps, polypectomy snares, and argon plasma coagulation can be used for endoscopic therapy... Complete removal of the bezoar is the goal of surgical treatment, and it can be performed by laparotomy or laparoscopy... Moreover, psychotherapy is recommended.

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A, B. Endoscopic view of the bezoar
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Figure 0001: A, B. Endoscopic view of the bezoar

Mentions: A mentally retarded 51-year-old female patient was admitted to our hospital for symptoms of epigastric pain, nausea, vomiting, and weight loss (10 kg in the preceding year) over the course of the previous 3 years and aggravated in the previous month. She had a hair- and nail-eating habitat. In her blood samples, haemoglobin was 7.8 g/dl and mean corpuscular volume (MCV) was 61.2 fl. Two hard black/yellowish coloured bezoars were revealed in her upper gastrointestinal endoscopy (Figure 1 A–B). Bezoars were fractionated by polypectomy snare catheter and extracted in two sessions. There were two ulcers of size 3–4 mm in diameter seen after complete removal of the bezoars (Figure 2). The patient's symptoms were relieved after this endoscopic intervention.


Gastric bezoars.

Akbulut S, Değer KC, Duman M, Yol S - Prz Gastroenterol (2016)

A, B. Endoscopic view of the bezoar
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4814539&req=5

Figure 0001: A, B. Endoscopic view of the bezoar
Mentions: A mentally retarded 51-year-old female patient was admitted to our hospital for symptoms of epigastric pain, nausea, vomiting, and weight loss (10 kg in the preceding year) over the course of the previous 3 years and aggravated in the previous month. She had a hair- and nail-eating habitat. In her blood samples, haemoglobin was 7.8 g/dl and mean corpuscular volume (MCV) was 61.2 fl. Two hard black/yellowish coloured bezoars were revealed in her upper gastrointestinal endoscopy (Figure 1 A–B). Bezoars were fractionated by polypectomy snare catheter and extracted in two sessions. There were two ulcers of size 3–4 mm in diameter seen after complete removal of the bezoars (Figure 2). The patient's symptoms were relieved after this endoscopic intervention.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Kartal Koşuyolu High Specialty Education and Research Hospital, Istanbul, Turkey.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

It can be presented with anaemia, haematemesis, nausea, vomiting, and weight loss... Iron deficiency anaemia, which is widely common in patients with trichobezoar, is mostly a direct outcome of some gastric ulcers caused by the pressure effect of mass... Bezoars can cause gastrointestinal complications like bleeding, gastric outlet obstruction, and ileus... A mentally retarded 51-year-old female patient was admitted to our hospital for symptoms of epigastric pain, nausea, vomiting, and weight loss (10 kg in the preceding year) over the course of the previous 3 years and aggravated in the previous month... She had a hair- and nail-eating habitat... Bezoars were fractionated by polypectomy snare catheter and extracted in two sessions... There are different alternative treatment methods such as liquid diet, prokinetic agents, dissolution of bezoar, and endoscopic or surgical extraction... Coca-Cola may be administered orally or via endoscopy for dissolution of phytobezoars; however, it is not effective on its own and must be given together with a prokinetic agent like metoclopramide... Because trichobezoars are so hard, prokinetic agents and solvents are usually ineffective... Biopsy forceps, alligator forceps, polypectomy snares, and argon plasma coagulation can be used for endoscopic therapy... Complete removal of the bezoar is the goal of surgical treatment, and it can be performed by laparotomy or laparoscopy... Moreover, psychotherapy is recommended.

No MeSH data available.


Related in: MedlinePlus