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Giacomo Borgonovo - One of the best experts on this subject based on the ideXlab platform.

  • Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
    2013
    Co-Authors: Ra Quercioli, Franco Dallegri, Luciano Ottonello, Fabrizio Montecucco, Giacomo Borgonovo
    Abstract:

    Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal pain with intermittent vomiting caused by Phytobezoar of the terminal ileum. After careful investigation of the case and review of literature, we identified the factor involved in bezoar formation as radiation-induced ileal stenosis due to previous treatment for a pelvic tumour. This report provides evidence to consider Phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy. Copyright © 2009 Alessandra Quercioli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1

  • intestinal radiation induced stricture favours small bowel obstruction by Phytobezoar report of a case
    Gastroenterology Research and Practice, 2009
    Co-Authors: Alessandra Quercioli, Franco Dallegri, Luciano Ottonello, Fabrizio Montecucco, Giacomo Borgonovo
    Abstract:

    Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal pain with intermittent vomiting caused by Phytobezoar of the terminal ileum. After careful investigation of the case and review of literature, we identified the factor involved in bezoar formation as radiation-induced ileal stenosis due to previous treatment for a pelvic tumour. This report provides evidence to consider Phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy.

Spiros D Ladas - One of the best experts on this subject based on the ideXlab platform.

  • systematic review coca cola can effectively dissolve gastric Phytobezoars as a first line treatment
    Alimentary Pharmacology & Therapeutics, 2013
    Co-Authors: Spiros D Ladas, D Kamberoglou, Georgios Karamanolis, John Vlachogiannakos, Irene Zouboulisvafiadis
    Abstract:

    SummaryBackground Gastric Phytobezoars represent the most common bezoars in patients with poor gastric motility. A variety of dissolution therapies and endoscopic fragmentation techniques have been evaluated as conservative treatment so as to avoid surgery. Aim To investigate the effectiveness of Coca-Cola for gastric Phytobezoars dissolution. Methods We performed a systematic search to identify publications on gastric Phytobezoars to assess the efficacy of Coca-Cola as a dissolution therapy. Diospyrobezoars, formed after persimmon ingestion, are a distinct type of Phytobezoars characterized by their hard consistency. Thus, these two subgroups of bezoars were compared in terms of successful dissolution. Results Over a 10-year period (2002–2012), 24 papers including 46 patients have been published. In 91.3% of the cases, Phytobezoar resolution with Coca-Cola administration was successful, either as a single treatment (50%) or combined with further endoscopic techniques, whereas only 4 patients underwent surgery. Phytobezoars were more likely to dissolve after initial attempt with Coca-Cola compared with diospyrobezoars (60.6% vs. 23%, P = 0.022). Conclusions Coca-Cola alone is effective in gastric Phytobezoar dissolution in half of the cases and, combined with additional endoscopic methods, is successful in more than 90% of them.

  • gastric Phytobezoars may be treated by nasogastric coca cola lavage
    European Journal of Gastroenterology & Hepatology, 2002
    Co-Authors: Spiros D Ladas, Charalabos Tzathas, Theodore Rokkas, Konstantinos Triantafyllou, Pericles S Tassios, Sotirios A. Raptis
    Abstract:

    Large gastric Phytobezoars may occur in patients with gastric dysmotility disorders. Treatment options include dissolution with enzymes, endoscopic fragmentation with removal or aspiration, and surgery. We report our experience with nasogastric cola lavage therapy. Over an 8-year period, five consecutive patients were referred to our unit for endoscopic treatment of large gastric Phytobezoars. They included one patient with lobectomy for lung cancer and four patients with diabetic gastroparesis. An initial attempt of endoscopic fragmentation and removal was unsuccessful. Patients were treated with 3 l of Coca-Cola nasogastric lavage over 12 h. Nasogastric lavage was very well tolerated by the patients. Complete Phytobezoar dissolution was achieved in one session in all cases. There were no procedure-related complications. 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.

Hideaki Kato - One of the best experts on this subject based on the ideXlab platform.

Masashi Mizokami - One of the best experts on this subject based on the ideXlab platform.

Saad Alrayyes - One of the best experts on this subject based on the ideXlab platform.

  • an unusual case of Phytobezoar induced small bowel obstruction
    Journal of Surgical Case Reports, 2019
    Co-Authors: Yasser Taha, Khaled Salman, Fahad Alrayyes, Saad Alrayyes
    Abstract:

    Bezoars, and to lesser extent Phytobezoars, are among the rare causes of small bowel obstruction. A bezoar generally describes retained concretions of indigestible foreign material that accumulate and conglomerate in the gastrointestinal tract, most commonly in the stomach. We present an unusual case of Phytobezoar-induced sub-acute small bowel obstruction originating from unfamiliar plant material in a 74-year-old woman. The past history was insignificant regarding comorbidities other than depression. Presenting complaints were history of abdominal pain and vomiting. Imaging studies and physical examination suggested small bowel obstruction. The patient underwent exploratory laparotomy after 1 day of conservative treatment. We found a 4.5 cm obstructing Phytobezoar intraoperatively. The undigested plant material caused the obstruction. Postoperatively, the plant was identified as Scorzonera papposa. The patient was discharged uneventfully. The elderly patients should avoid semi-cooked vegetables, plants of unknown origin and high-fibre diet.