Migration of gastric bezoars leading to secondary ileus

Hsuan-Wei Chen, Heng-Cheng Chu

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


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
Issue number18
Publication statusPublished - 2011
Externally publishedYes


  • 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


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