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Article |

Postgastrectomy Phytobezoars—Endoscopic Diagnosis and Treatment

Nancy A. Diettrich, MD; Frederick C. Gau, MD
Arch Surg. 1985;120(4):432-435. doi:10.1001/archsurg.1985.01390280026006.
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• Thirty-three consecutive patients with 38 bezoars were identified since 1975. Twenty-nine patients (87.8%) had undergone previous gastric surgery. The average interval between surgery and bezoar diagnosis was 7.7 years. There were 14 men and 19 women (mean age, 61.5 years). Epigastric distress (84%) and weight loss (31%) were the most common complaints. Twenty-two (75.9%) of 29 barium studies were falsely negative. Attempts at prior enzymatic dissolution had failed in three patients. Three (13.6%) of 22 patients available for follow-up had multiple episodes of bezoar formation. All patients underwent esophagogastroduodenoscopy for diagnosis and concomitant fragmentation and "flushing" of the bezoar for resolution. The success rate was 100%; no complications occurred.

(Arch Surg 1985;120:432-435)


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