Successful endoscopic treatment of gastric phytobezoar: A case report

• DOI: 10.1016/j.ijscr.2017.06.015
• Publication Date: 2017-06-16T00:30:55Z
• Authors: Ippazio Ugenti; Elisabetta Travaglio; Elpiniki Lagouvardou; Onofrio Caputi Ia...; Gennaro Martines
• Keywords: Phytobezoar; Epigastric pain; Perforation; Endoscope; Outpatient clinic

Gastric bezoars are a rare condition associated with situations of gastric dysmotility and prior surgery, though sometimes they can present without any risk factor. We describe the first successful treatment in medical literature large bezoar outpatient setting through endoscopic fragmentation.A 76-year-old man was referred to our endoscopy clinic because dyspepsia epigastric pain. Upper GI standard endoscope revealed 10-cm-diameter phytobezoar necrotic pressure ulcer angulus. fragmentized into smaller pieces, complete dissolution complication. The patient then promptly discharged home therapy. Follow-up at 6 months showed total disappearance residual fibers.Different types described literature, which phyto- trychobezoars most frequent. They be absolutely asymptomatic or arise pain, bleeding, gastrointestinal perforation small bowel obstruction. is debated removal fragmentation help Coca-Cola lavages has best success rate. main experiences concern hospitalized patients techniques require overnight stays. An effective rapid experience, short- long-term complications.The safe good clinical course.