Abstract:
We aimed to present a patient with gastric pouch bezoar after having a bariatric surgery.
PRESENTATION OF CASE: Sixty-three years old morbid obese female had a laparoscopic Roux-en-Y gastric
bypass surgery 14 months ago. She has lost 88% of her excess body mass index; but started to suffer from
nausea, abdominal distention and vomiting lately, especially for the last two months. The initial evaluation
by endoscopy, computed tomography (CT) and an upper gastrointestinal contrast series overlooked
the pathology in the gastric pouch and did not display any abnormality. However, a second endoscopy
revealed a 5 cm in diameter phytobezoar in the gastric pouch which was later endoscopically removed.
After the bezoar removal, her complaints relieved completely.
DISCUSSION: The gastric bezoars may be confused with the other pathologies because of the dyspeptic
complaints ofthese patients. The patients that had a bariatric surgery; are more prone to bezoar formation
due to their potential eating disorders and because of the gastro-enterostomy made to a small gastric
pouch after the Roux-en-Y gastric bypass surgery.
CONCLUSION: Possibility of a bezoar formation should be kept in mind in Roux-en-Y gastric bypass
patients who has nausea and vomiting complaints. Removal of the bezoar provides a dramatic improvement
in the complaints of these patients.
