bezoars

Summary

Summary: Concretions of swallowed hair, fruit or vegetable fibers, or similar substances found in the alimentary canal.

Top Publications

  1. Sehgal V, Srivastava G. Trichotillomania +/- trichobezoar: revisited. J Eur Acad Dermatol Venereol. 2006;20:911-5 pubmed
    ..Apart from psychotherapy, the drug treatment involves several agents including selective serotonin reuptake inhibitors (SSRIs) and domipramine. Trichobezoar/Rapunzel syndrome requires surgical intervention...
  2. Pratt J, Van Noord M, Christison Lagay E. The tethered bezoar as a delayed complication of laparoscopic Roux-en-Y gastric bypass: a case report. J Gastrointest Surg. 2007;11:690-2 pubmed
    ..We include endoscopic images of the bezoar, a review of the related gastric bypass literature, and describe the changes made in our practice as a result of this complication...
  3. Meyer Rochow G, Grunewald B. Laparoscopic removal of a gastric trichobezoar in a pregnant woman. Surg Laparosc Endosc Percutan Tech. 2007;17:129-32 pubmed
    ..A review of laparoscopy in pregnancy with regard to this case is presented...
  4. Song K, Choi B, Kim S, Park C. Laparoscopic removal of gastric bezoar. Surg Laparosc Endosc Percutan Tech. 2007;17:42-4 pubmed
    Many approaches have been proposed for the treatment of bezoars, such as gastroscopic fragmentation, nasogastric lavage or suction, and enzymatic therapy...
  5. Palanivelu C, Rangarajan M, Senthilkumar R, Madankumar M. Trichobezoars in the stomach and ileum and their laparoscopy-assisted removal: a bizarre case. Singapore Med J. 2007;48:e37-9 pubmed
    ..Endoscopical removal may not be possible if the lesion is large and hard. There are some reports of laparoscopy being used in removal surgery. It has the advantages of smaller incisions, better cosmesis and reduced pain...
  6. Parameswaran R, Ferrando J, Sigurdsson A. Gastric bezoar complicating laparoscopic adjustable gastric banding with band slippage. Obes Surg. 2006;16:1683-4 pubmed
    Gastric bezoars may develop in the proximal pouch after gastric restriction, eg. by laparoscopic adjustable gastric banding (LAGB). To date, only two centers have reported this rare complication...
  7. Kato H, Nakamura M, Orito E, Ueda R, Mizokami M. The first report of successful nasogastric Coca-Cola lavage treatment for bitter persimmon phytobezoars in Japan. Am J Gastroenterol. 2003;98:1662-3 pubmed
  8. Michail S, Nanagas V, Mezoff A. An unusual cause of postfundoplication vomiting. J Pediatr Surg. 2008;43:E45-7 pubmed publisher
    ..This case should be considered in the appropriate clinical setting where the patient has demonstrated pica. An evaluation with contrast upper gastrointestinal studies proved to be critical in this case of postfundoplication vomiting. ..
  9. Schoeffl V, Varatorn R, Blinnikov O, Vidamaly V. Intestinal obstruction due to phytobezoars of banana seeds: a case report. Asian J Surg. 2004;27:348-51 pubmed
    ..As recurrence and presentation at multiple sites are possible, all of the gastrointestinal tract should be thoroughly examined intraoperatively. ..

More Information

Publications69

  1. Takahashi K, Azuma Y, Kobayashi S, Azuma J, Takahashi K, Schaffer S, et al. Tool from traditional medicines is useful for health-medication: Bezoar Bovis and taurine. Adv Exp Med Biol. 2009;643:95-103 pubmed publisher
    ..Since beta-alanine, an inhibitor of taurine transport, antagonized the protective effects of both BB and taurine, it is likely that the effect of BB is partly mediated by taurine. ..
  2. Gayà J, Barranco L, Llompart A, Reyes J, Obrador A. Persimmon bezoars: a successful combined therapy. Gastrointest Endosc. 2002;55:581-3 pubmed
    ..A more extensive study is required to assess these clinical observations. ..
  3. Ben Cheikh A, Gorincour G, Dugougeat Pilleul F, Dupuis S, Basset T, Pracros J. [Gastric trichobezoar in an adolescent presenting with anemia: ultrasound and MRI findings]. J Radiol. 2004;85:411-3 pubmed
    ..In the pediatric population the authors propose, based on a recent case report, a non invasive and non irradiating protocol using sonography and T1W and T2W MR imaging. ..
  4. Chung Y, Han D, Park Y, Son B, Paik C, Jeon Y, et al. Huge gastric diospyrobezoars successfully treated by oral intake and endoscopic injection of Coca-Cola. Dig Liver Dis. 2006;38:515-7 pubmed
    ..He was made to drink two cans of Coca-Cola every 6 h. At endoscopy the next day, the bezoars were partially dissolved and turned to be softened...
  5. Naik S, Gupta V, Naik S, Rangole A, Chaudhary A, Jain P, et al. Rapunzel syndrome reviewed and redefined. Dig Surg. 2007;24:157-61 pubmed
  6. Eitan A, Katz I, Sweed Y, Bickel A. Fecal impaction in children: report of 53 cases of rectal seed bezoars. J Pediatr Surg. 2007;42:1114-7 pubmed
    Rectal seed bezoars in children seem to present an uncommon problem that necessitates some operative intervention.
  7. Delabrousse E, Lubrano J, Sailley N, Aubry S, Mantion G, Kastler B. Small-bowel bezoar versus small-bowel feces: CT evaluation. AJR Am J Roentgenol. 2008;191:1465-8 pubmed publisher
    ..The objective of our study was to evaluate the accuracy of CT for differentiating small-bowel bezoar from small-bowel feces in cases of small-bowel obstruction (SBO)...
  8. Kim J, Ha H, Sohn M, Kim A, Kim T, Kim P, et al. CT findings of phytobezoar associated with small bowel obstruction. Eur Radiol. 2003;13:299-304 pubmed
    ..Small bowel feces were much more tubular in shape but did not have encapsulating wall on CT. The CT imaging is useful in making the diagnosis of phytobezoar associated with small bowel obstruction...
  9. Stein Wexler R, Wootton Gorges S, Shakibai S, Graf J, Miller S, Taylor D, et al. Trichobezoar: an unusual cause for pancreatitis in a patient with sickle cell anemia. Clin Adv Hematol Oncol. 2006;4:471-3 pubmed
  10. Colianni S, Ping J, Fischer P, Freese D, Chan K, Alkuraya F. Index of suspicion. Pediatr Rev. 2004;25:289-94 pubmed
  11. Billaud Y, Pilleul F, Valette P. [Mechanical small bowel obstruction due to bezoars: correlation between CT and surgical findings]. J Radiol. 2002;83:641-6 pubmed
    ..To evaluate the correlation between computed tomography (CT) and surgery, for the diagnosis of bezoar in small bowel obstruction. To analyze the predisposing etiologic factors in this population...
  12. Carr J, Sholevar E, Baron D. Trichotillomania and trichobezoar: a clinical practice insight with report of illustrative case. J Am Osteopath Assoc. 2006;106:647-52 pubmed
    ..This case highlights osteopathic medicine's fundamental concept of treating the whole person rather than just symptoms by considering factors such as genetic influences in understanding disease...
  13. Hall J, Shami V. Rapunzel's syndrome: gastric bezoars and endoscopic management. Gastrointest Endosc Clin N Am. 2006;16:111-9 pubmed
    ..Once a bezoar has been safely treated, steps should be taken to avoid recurrence, because many patients may be at risk for reformation...
  14. Ventura D, Herbella F, Schettini S, Delmonte C. Rapunzel syndrome with a fatal outcome in a neglected child. J Pediatr Surg. 2005;40:1665-7 pubmed
    ..The authors discuss a possible link between Rapunzel syndrome and child neglect...
  15. Hall N, Ward H. Lactobezoar with perforation in a premature infant. Biol Neonate. 2005;88:328-30 pubmed
    ..Following surgical treatment the infant made a full and uncomplicated recovery. Aetiological factors associated with the development of lactobezoars and their diagnosis and treatment are discussed...
  16. Mehta P, Bhutiani R. The Rapunzel syndrome: is it an Asian problem? (case report and review of literature). Eur J Gastroenterol Hepatol. 2009;21:937-40 pubmed publisher
    ..This report highlights the need for a higher index of suspicion, particularly in Asian girls to avoid missing the diagnosis and early elective intervention...
  17. Coulter R, Antony M, Bhuta P, Memon M. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. South Med J. 2005;98:1042-4 pubmed
    ..The diagnosis of a trichobezoar in a healthy patient requires a high index of suspicion, as it can present with nonspecific symptomatology. It should be included in the differential diagnosis of nonspecific abdominal pain...
  18. Kan J, Huang T, Heish J. Laparoscopy-assisted management of jejunal bezoar obstruction. Surg Laparosc Endosc Percutan Tech. 2005;15:297-8 pubmed
    ..Laparoscopic management is an alternative to conventional surgery for intestinal bezoar that provides shorter hospital stay and less postoperative pain and may be recommended as the treatment of choice of such patients...
  19. Erzurumlu K, Malazgirt Z, Bektas A, Dervisoglu A, Polat C, Senyurek G, et al. Gastrointestinal bezoars: a retrospective analysis of 34 cases. World J Gastroenterol. 2005;11:1813-7 pubmed
    b>Bezoars (BZ) are the most common foreign bodies of gastrointestinal tract. Clinical manifestations vary depending on the location of BZ from no symptoms to acute abdominal syndrome...
  20. Michael A, Sellaraman S. Lactobezoar: a rare cause of ileal obstruction. Indian Pediatr. 2004;41:1279-80 pubmed
  21. Zissin R, Osadchy A, Gutman V, Rathaus V, Shapiro Feinberg M, Gayer G. CT findings in patients with small bowel obstruction due to phytobezoar. Emerg Radiol. 2004;10:197-200 pubmed
    ..As CT is frequently performed for suspected SBO, an ovoid, short intraluminal mottled mass seen at the site of an obstruction may be regarded as a pathognomonic preoperative sign of an obstructing phytobezoar...
  22. Ladas S, Triantafyllou K, Tzathas C, Tassios P, Rokkas T, Raptis S. Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage. Eur J Gastroenterol Hepatol. 2002;14:801-3 pubmed
    ..The dissolution of large gastric phytobezoars with cola nasogastric lavage is a safe, rapid and effective method. Patients may be treated in the medical ward, avoiding therapeutic endoscopy or surgery...
  23. Mandel D, Lubetzky R, Mimouni F, Dollberg S. Lactobezoar and necrotizing enterocolitis in a preterm infant. Isr Med Assoc J. 2003;5:895-6 pubmed
  24. Eitan A, Bickel A, Katz I. Fecal impaction in adults: report of 30 cases of seed bezoars in the rectum. Dis Colon Rectum. 2006;49:1768-71 pubmed
    Seed bezoars in the rectum have been considered an uncommon cause of fecal impaction in adults...
  25. Hernández Peredo Rezk G, Escarcega Fujigaki P, Campillo Ojeda Z, Sánchez Martínez M, Rodríguez Santibáñez M, Angel Aguilar A, et al. Trichobezoar can be treated laparoscopically. J Laparoendosc Adv Surg Tech A. 2009;19:111-3 pubmed publisher
    ..The treatment options were modified with the advent of laparoscopy. We reported two 7- and 12-year-old female patients with Rapunzel syndrome and thrichobezoar, respectively, who were successfully operated by laparoscopy...
  26. Hoover K, Piotrowski J, St Pierre K, Katz A, Goldstein A. Simultaneous gastric and small intestinal trichobezoars--a hairy problem. J Pediatr Surg. 2006;41:1495-7 pubmed
    ..This case emphasizes the role of radiographic imaging in the diagnosis of trichobezoars and the importance of a complete clinical evaluation of the small bowel at the time of removal of an obstructing gastric bezoar...
  27. Ripollés T, García Aguayo J, Martinez M, Gil P. Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 2001;177:65-9 pubmed
    The purpose of this study was to assess the value of imaging studies--conventional abdominal radiographs, sonography, and CT--in the diagnosis of gastrointestinal bezoars.
  28. Koulas S, Zikos N, Charalampous C, Christodoulou K, Sakkas L, Katsamakis N. Management of gastrointestinal bezoars: an analysis of 23 cases. Int Surg. 2008;93:95-8 pubmed
    b>Bezoars (BZs) represent the most common foreign bodies of the gastrointestinal tract. Clinical symptoms varying from no symptoms to acute abdominal obstruction. Our goal is to present our experience with a review of the literature...
  29. Zamir D, Goldblum C, Linova L, Polychuck I, Reitblat T, Yoffe B. Phytobezoars and trichobezoars: a 10-year experience. J Clin Gastroenterol. 2004;38:873-6 pubmed
    b>Bezoars are retained concretions of animal or vegetable material in the gastrointestinal tract. Most bezoars reside in the stomach, but they may be encountered elsewhere...
  30. Ganpathi I, Cheah W. Laparoscopic-assisted management of small bowel obstruction due to phytobezoar. Surg Laparosc Endosc Percutan Tech. 2005;15:30-2 pubmed
    ..Gastroscopy performed a month later showed gastric bezoars which could not be removed endoscopically...
  31. Sharma R, Kotwal S, Chintamani -, Bhatnagar D. Trichobezoar obstructing the terminal ileum. Trop Doct. 2002;32:99-100 pubmed
  32. Kement M, Ozlem N, Colak E, Kesmer S, Gezen C, Vural S. Synergistic effect of multiple predisposing risk factors on the development of bezoars. World J Gastroenterol. 2012;18:960-4 pubmed publisher
    To describe the clinical characteristics of patients with gastric or intestinal bezoars recently treated in our hospital.
  33. Bedioui H, Daghfous A, Ayadi M, Noomen R, Chebbi F, Rebai W, et al. A report of 15 cases of small-bowel obstruction secondary to phytobezoars: predisposing factors and diagnostic difficulties. Gastroenterol Clin Biol. 2008;32:596-600 pubmed publisher
    ..Phytobezoars are a rare cause of acute bowel obstruction. The purpose of this work was to identify the predisposing factors and diagnostic difficulties of this rare entity...
  34. Frey A, McKee M, King R, Martin A. Hair apparent: Rapunzel syndrome. Am J Psychiatry. 2005;162:242-8 pubmed
  35. Yau K, Siu W, Law B, Cheung H, Ha J, Li M. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Arch Surg. 2005;140:972-5 pubmed
    ..Recent articles demonstrate the feasibility of laparoscopy in the management of SBO. This study compares the outcomes of a series of cases managed laparoscopically with the outcomes of matched open cases...
  36. Moghaddam J, Amini M, Adibnejad S. Development of bile duct bezoars following cholecystectomy caused by choledochoduodenal fistula formation: a case report. BMC Gastroenterol. 2006;6:1 pubmed
    The formation of bile duct bezoars is a rare event. Its occurrence when there is no history of choledochoenteric anastomosis or duodenal diverticulum constitutes an extremely scarce finding.
  37. Hewitt A, Levine M, Rubesin S, Laufer I. Gastric bezoars: reassessment of clinical and radiographic findings in 19 patients. Br J Radiol. 2009;82:901-7 pubmed publisher
    The aim of this study was to reassess the clinical and radiographic findings in a series of patients with gastric bezoars. Radiology files revealed 19 patients with bezoars; 10 patients had CT and 10 had endoscopy before or after the ..
  38. Delabrousse E, Brunelle S, Saguet O, Destrumelle N, Landecy G, Kastler B. Small bowel obstruction secondary to phytobezoar CT findings. Clin Imaging. 2001;25:44-6 pubmed
    ..CT demonstrated an ovoid intraluminal mass with mottled gas pattern within the small bowel and intestinal obstruction signs. We believe that these CT findings are pathognomonic of this condition...
  39. Graham R, Stein P. Gastric outlet obstruction in an infant: lactobezoar. Am J Emerg Med. 2007;25:98-9 pubmed
  40. Prochazka V, Krausová D, Kod ousek R, Zámecníková P. Foreign material as a cause of choledocholithiasis. Endoscopy. 1999;31:383-5 pubmed
    ..Gallstones obtained endoscopically from the biliary duct were analyzed to determine their structure and the presence of foreign material. The possible correlation between foreign material in gallstones and clinical data was investigated...
  41. Kanetaka K, Azuma T, Ito S, Matsuo S, Yamaguchi S, Shirono K, et al. Two-channel method for retrieval of gastric trichobezoar: report of a case. J Pediatr Surg. 2003;38:e7 pubmed
    ..The authors report a case in which an 11-year-old girl with a trichobezoar underwent successful removal using gastroscopy with laparoscopically assisted fragmentation...
  42. White N, Gibbs K, Goodwin A, Teixeira J. Gastric bezoar complicating laparoscopic adjustable gastric banding, and review of literature. Obes Surg. 2003;13:948-50 pubmed
    Gastric bezoars may be formed in the normal stomach as a result of foreign body consecrations of various objects with inability to pass through the pylorus...
  43. Smith B, Bachrach S. An unexpected finding in an eight-year-old child with cerebral palsy and weight loss. J Natl Med Assoc. 2006;98:280-3 pubmed
    ..Due to ongoing diminished oral intake, a barium swallow was performed, which revealed a filling defect. The mass that was removed at surgery proved to be a lactobezoar, a very uncommon finding in a child of this age...
  44. Osada T, Shibuya T, Kodani T, Beppu K, Sakamoto N, Nagahara A, et al. Obstructing small bowel bezoars due to an agar diet: diagnosis using double balloon enteroscopy. Intern Med. 2008;47:617-20 pubmed
    Primary small bowel bezoars are rare and may cause acute abdomen due to small bowel obstruction (SBO). A 70-year-old Japanese woman presented to the emergency room with abdominal pain, nausea and vomiting...
  45. Ionescu A, Rogers A, Pauli E, Shope T. An unusual suspect: coconut bezoar after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2008;18:756-8 pubmed publisher
    ..Nutritional counseling should be an ongoing process in the postoperative care of gastric bypass patients in an effort to prevent serious complications that may arise from dietary indiscretions...
  46. Rabie M, Arishi A, Khan A, Ageely H, Seif El Nasr G, Fagihi M. Rapunzel syndrome: the unsuspected culprit. World J Gastroenterol. 2008;14:1141-3 pubmed
    ..We hereby add two more cases to the literature. To our knowledge, this is the first report on two cases of Rapunzel syndrome, the diagnosis of which demands a high index of suspicion...
  47. Zent R, Cothren C, Moore E. Gastric trichobezoar and Rapunzel syndrome. J Am Coll Surg. 2004;199:990 pubmed
  48. Lee H, Kang H, Park S, Yi C, Na G, Lee T, et al. [Two cases of phytobezoars treated by adminsitration of Coca-Cola by oral route]. Korean J Gastroenterol. 2006;48:431-3 pubmed
    b>Bezoars are concretions of foreign bodies found in the gastrointestinal tract. In the past, most common method for the treatment of bezoar was surgical management...
  49. Martínez de Juan F, Martínez Lapiedra C, Picazo V. [Phytobezoar dissolution with Coca-Cola]. Gastroenterol Hepatol. 2006;29:291-3 pubmed
    ..We present two cases of phytobezoar with successful outcome after Coca-Cola administration...
  50. Levy R, Komanduri S. Images in clinical medicine. Trichobezoar. N Engl J Med. 2007;357:e23 pubmed
  51. Teicher E, Cesanek P, Dangleben D. Small-bowel obstruction caused by phytobezoar. Am Surg. 2008;74:136-7 pubmed
  52. Perera B, Romanie Rodrigo B, de Silva T, Ragunathan I. A case of trichobezoar. Ceylon Med J. 2005;50:168-9 pubmed
  53. Ersoy Y, Ayan F, Ersan Y. Gastro-intestinal bezoars: thirty-five years experience. Acta Chir Belg. 2009;109:198-203 pubmed
    Because of their rarity and late diagnosis, gastro-intestinal bezoars can be treated after the occurrence of some complications such as acute intestinal obstruction, strangulation, decubitus ulceration and bleeding...
  54. Lin C, Tung C, Peng Y, Chow W, Chang C, Hu W. Successful treatment with a combination of endoscopic injection and irrigation with coca cola for gastric bezoar-induced gastric outlet obstruction. J Chin Med Assoc. 2008;71:49-52 pubmed publisher
    ..Upper gastrointestinal endoscopy, performed at a local hospital, showed 2 gastric bezoars in the stomach, and 1 of them impacted at the pylorus...
  55. Ulusan S, Koc Z, Torer N. Small bowel obstructions secondary to bezoars. Ulus Travma Acil Cerrahi Derg. 2007;13:217-21 pubmed
    ..We aimed to present our experience on computed tomography (CT) findings of small bowel obstruction due to bezoar impaction...
  56. Chintamani -, Durkhure R, Singh J, Singhal V. Cotton Bezoar--a rare cause of intestinal obstruction: case report. BMC Surg. 2003;3:5 pubmed
    b>Bezoars usually present as a mass in the stomach. The patient often has a preceding history of some psychiatric predisposition...
  57. Shami S, Jararaa A, Hamade A, Ammori B. Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania. Surg Laparosc Endosc Percutan Tech. 2007;17:197-200 pubmed
    Gastric bezoars are rare, and are commonly observed in female children with mental or emotional disorders. Large bezoars may not be suitable for endoscopic extraction and are conventionally removed at laparotomy...
  58. Jensen A, Trankiem C, Lebovitch S, Grewal H. Gastric outlet obstruction secondary to a large trichobezoar. J Pediatr Surg. 2005;40:1364-5 pubmed
  59. Coulier B, Sergeant L, Maldague P, Ramboux A, Broze B, Hamels J. Complicated Meckel's diverticulum diagnosed preoperatively in three cases by complementing CT with detailed us studies. JBR-BTR. 2003;86:65-71 pubmed
    ..Obstruction due to a phytobezoar as observed in the third case is a very rare presentation. This report clearly emphasizes and encourages the approach of this difficult diagnosis by combined CT and US imaging...
  60. Pinto D, Carrodeguas L, Soto F, Lascano C, Cho M, Szomstein S, et al. Gastric bezoar after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2006;16:365-8 pubmed
    ..In both cases, the patients presented with abdominal pain, nausea, and "frothy" vomiting. The patients were successfully treated by endoscopic fragmentation and removal of the bezoar...