Migration of gastric bezoars leading to secondary ileus

Hsuan-Wei Chen, Heng-Cheng Chu

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. © 2011 The Japanese Society of Internal Medicine.
Original languageEnglish
Pages (from-to)1993-1995
Number of pages3
JournalInternal Medicine
Volume50
Issue number18
DOIs
Publication statusPublished - 2011
Externally publishedYes

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Bezoars
Ileus
Stomach
X Ray Tomography
Constipation
Motion Pictures
Internal Medicine
Endoscopy
Small Intestine
Gastrointestinal Tract

Keywords

  • Gastric bezoar
  • Gastrointestinal obstruction
  • Migration
  • hemoglobin
  • abdominal distension
  • abdominal pain
  • abdominal radiography
  • adult
  • anemia
  • anorexia
  • article
  • bezoar
  • case report
  • computer assisted tomography
  • epigastric fullness
  • epigastric pain
  • female
  • gastroscopy
  • human
  • ileus
  • intestine loop
  • laparoscopic surgery
  • obesity
  • Roux Y anastomosis
  • satiety
  • treatment failure
  • vomiting
  • Abdominal Pain
  • Bezoars
  • Carbonated Beverages
  • Endoscopy, Gastrointestinal
  • Female
  • Foreign-Body Migration
  • Humans
  • Ileus
  • Intestinal Obstruction
  • Middle Aged
  • Radiography, Abdominal
  • Stomach
  • Tomography, X-Ray Computed
  • Treatment Outcome

Cite this

Migration of gastric bezoars leading to secondary ileus. / Chen, Hsuan-Wei; Chu, Heng-Cheng.

In: Internal Medicine, Vol. 50, No. 18, 2011, p. 1993-1995.

Research output: Contribution to journalArticle

Chen, Hsuan-Wei ; Chu, Heng-Cheng. / Migration of gastric bezoars leading to secondary ileus. In: Internal Medicine. 2011 ; Vol. 50, No. 18. pp. 1993-1995.
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title = "Migration of gastric bezoars leading to secondary ileus",
abstract = "Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. {\circledC} 2011 The Japanese Society of Internal Medicine.",
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author = "Hsuan-Wei Chen and Heng-Cheng Chu",
note = "被引用次數:2 Export Date: 22 March 2016 CODEN: IEDIE 通訊地址: Chu, H.-C.; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterTaiwan; 電子郵件: chu5583@ms55.hinet.net 化學物質/CAS: hemoglobin, 9008-02-0 參考文獻: Lee, J., Bezoars and foreign bodies of the stomach (1996) Gastrointest Endosc Clin N Am, 6, pp. 605-619; Assalia, A., Small bowel obstruction secondary to bezoar impaction: A diagnostic dilemma (2007) World J Surg, 31, pp. 1976-1979; Zarling, E.J., Thompson, L.E., Nonpersimmon gastric phytobezoar. A benign recurrent condition (1984) Arch Intern Med, 144, p. 959; Vargas, J.D., Spivak, A.M., A perfect storm. Gastric bezoar (2009) Am J Med, 122, pp. 519-521; Debakey, M., Oshner, A., Bezoars and concretions (1938) Surgery, 4, p. 934; Yen, H.H., Chou, K.C., Soon, M.S., Chen, Y.Y., Electronic clinical challenges and images in GI. Migration of a gastric bezoar (2008) Gastroenterology, 134, pp. e1-e2; Ha, S.S., Lee, H.S., Jung, M.K., Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola (2007) Korean J Intern Med, 22, pp. 300-303; Chen, J.H., Chen, K.Y., Chang, W.K., Intestinal obstruction induced by phytobezoars (2010) CMAJ, 182, pp. E797; Beppu, T., Sugimoto, K., Shiraki, K., Takei, Y., Yoshimura, H., Tagawa, S., (2008) Phytobezoars. Intern Med, 47, p. 119",
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TY - JOUR

T1 - Migration of gastric bezoars leading to secondary ileus

AU - Chen, Hsuan-Wei

AU - Chu, Heng-Cheng

N1 - 被引用次數:2 Export Date: 22 March 2016 CODEN: IEDIE 通訊地址: Chu, H.-C.; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterTaiwan; 電子郵件: chu5583@ms55.hinet.net 化學物質/CAS: hemoglobin, 9008-02-0 參考文獻: Lee, J., Bezoars and foreign bodies of the stomach (1996) Gastrointest Endosc Clin N Am, 6, pp. 605-619; Assalia, A., Small bowel obstruction secondary to bezoar impaction: A diagnostic dilemma (2007) World J Surg, 31, pp. 1976-1979; Zarling, E.J., Thompson, L.E., Nonpersimmon gastric phytobezoar. A benign recurrent condition (1984) Arch Intern Med, 144, p. 959; Vargas, J.D., Spivak, A.M., A perfect storm. Gastric bezoar (2009) Am J Med, 122, pp. 519-521; Debakey, M., Oshner, A., Bezoars and concretions (1938) Surgery, 4, p. 934; Yen, H.H., Chou, K.C., Soon, M.S., Chen, Y.Y., Electronic clinical challenges and images in GI. Migration of a gastric bezoar (2008) Gastroenterology, 134, pp. e1-e2; Ha, S.S., Lee, H.S., Jung, M.K., Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola (2007) Korean J Intern Med, 22, pp. 300-303; Chen, J.H., Chen, K.Y., Chang, W.K., Intestinal obstruction induced by phytobezoars (2010) CMAJ, 182, pp. E797; Beppu, T., Sugimoto, K., Shiraki, K., Takei, Y., Yoshimura, H., Tagawa, S., (2008) Phytobezoars. Intern Med, 47, p. 119

PY - 2011

Y1 - 2011

N2 - Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. © 2011 The Japanese Society of Internal Medicine.

AB - Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. © 2011 The Japanese Society of Internal Medicine.

KW - Gastric bezoar

KW - Gastrointestinal obstruction

KW - Migration

KW - hemoglobin

KW - abdominal distension

KW - abdominal pain

KW - abdominal radiography

KW - adult

KW - anemia

KW - anorexia

KW - article

KW - bezoar

KW - case report

KW - computer assisted tomography

KW - epigastric fullness

KW - epigastric pain

KW - female

KW - gastroscopy

KW - human

KW - ileus

KW - intestine loop

KW - laparoscopic surgery

KW - obesity

KW - Roux Y anastomosis

KW - satiety

KW - treatment failure

KW - vomiting

KW - Abdominal Pain

KW - Bezoars

KW - Carbonated Beverages

KW - Endoscopy, Gastrointestinal

KW - Female

KW - Foreign-Body Migration

KW - Humans

KW - Ileus

KW - Intestinal Obstruction

KW - Middle Aged

KW - Radiography, Abdominal

KW - Stomach

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

U2 - 10.2169/internalmedicine.50.5637

DO - 10.2169/internalmedicine.50.5637

M3 - Article

VL - 50

SP - 1993

EP - 1995

JO - Internal Medicine

JF - Internal Medicine

SN - 0918-2918

IS - 18

ER -