Clinical and Demographic Characteristics of Patients with Gastrointestinal Bezoars with Treatment Outcomes; Our Experiences, and Suggestions
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
By examining our cases, we aimed to investigate the treatment modalities and to evaluate the efficacy of these treatment modalities, especially of the oral cola administration in our patients with gastrointestinal bezoars in the first approach. Bezoars are indigestible foreign bodies that form masses in the gastrointestinal lumen and can be treated surgically, endoscopically, or pharmacologically. Bezoars are classified into four major types according to their composition: trichobezoars, phytobezoars, pharmacobezoars, and lactobezoars. The incidence of gastrointestinal bezoars is about 0.4% and they are a rare cause of intestinal obstruction. In In this study, we investigated 39 consecutive cases of patients with gastrointestinal bezoars. Data were obtained by retrospective review of the medical records of patients diagnosed with, and treated for, gastrointestinal bezoars who were followed up in the Department of General Surgery from October 2007 to March 2018. A total of 39 patients were included in the study; 26 of whom underwent surgery. The mean age of the patients was 58.6 ± 14 years, and their initial complaints were intestinal obstruction and dyspepsia. The mean macroscopic diameter of the gastrointestinal bezoars was 7.5 ± 1.8 cm. Many bezoars can be treated endoscopically or medically. A bezoar recalcitrant to medical or endoscopic treatments should be removed surgically. Treatment delay can lead to serious complications; therefore, if medical treatment fails, surgery should be performed immediately.
Authors and Affiliations
KİLİÇ Erol, SERTKAYA Mehmet, EMRE Arif, KOCA Bülent
Keywords
Related Articles
- EP ID EP478369
- DOI -
- Views 42
- Downloads 0
Study of Uropathogens among Type II Diabetic Patients and Their Amtimicrobial Resistance Pattern among Rural South Indian Population
Infection of the urinary tract (UTI) is among the most frequent infectious diseases in humans. Urinary tract infection is also a most common infection among the diabetic patients. The aim of our study is to know the prev...
Role of Urinary Diversion in Optimization of Patients of Advanced Cervical Cancer with Obstructive Uropathy
Abstract:Ureteral obstruction in advanced cervical carcinoma can result in renal dysfunction or urosepsis which can restrict patients from receiving proper treatment. Objective of our study is to assess the efficacy of u...
The Hassal of Thymus: Hassals Corpuscle Histological and Histopathological Perspective
Hassals corpuscles are special and specific bodies present in the thymic medulla. The medulla of thymus is pale staining and composed of scattered thymocytes, reticular cells and characteristic bodies called Hassals Corp...
A Study on Serum Urea, Creatinine and Uric Acid Levels in Normal Pregnancy (First and Third Trimester) in Rohilkhand Region, Uttar Pradesh
The present study has been undertaken to evaluate the changes in serum level of urea, creatinine, and uric acid in normal pregnant women (during 1st and 3rd trimester of pregnancy) and compare it with non-pregnant women....
An Unusual Presentation of Gallbladder Carcinoma-Gallbladder Perforation and Anterior Abdominal Wall Abscess
Gallbladder perforation (GBP) is a rare but life threatening complication of acute cholecystitis with high morbidity and mortality rates because of delay in diagnosis. Most cases can only be diagnosed during surgery. Ni...