Gastrektomi sonrası oluşan fitobezoara bağlı ince barsak tıkanıklığı

Abstract

Purpose: Phytobezoar is an uncommon cause of mechanical intestinal obstruction, mainly in patients who have undergone previous gastric operation. We report 12 patients presenting with small bowel obstruction with phytobezoar. Material and Methods: Between 1998-2005, we operated 12 patients (7 male and 5 female, between the ages of 40-74 years) with mechanical intestinal obstruction due to phytobezoar. All patients had undergone previous gastric surgery (vagotomy and gastroenterostomy). Results: Eleven patients with acute intestinal obstruction due to phytobezoar had emergency operation. One patient; with intermittent obstructive symptoms had elective laporotomy. At laparotomy, phytobezoar was found in the distal ileum (10 cases) or jejunum (2 cases). On 6 patient, the phytobezoars were milked into the caecum, whereas in 6 patient they were extracted through an enterotomy. An associated gastric bezoar was found in 1 patient and removed via a gastrotomy. All patients made an uneventful recovery. Conclusion: Diagnosis of an obstructing bezoar should always be suspected in cases of intestinal obstruction, especially in patients with previous gastric operation