Surgical treatment of phytobezoars causes acute small intestinal obstruction

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dc.authoridÖzgör, Dinçer/0000-0001-8519-8869
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidTatlı, Faik/ABH-7308-2020
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidÖzgör, Dinçer/AAB-3523-2021
dc.contributor.authorDirican, A.
dc.contributor.authorUnal, B.
dc.contributor.authorTatli, F.
dc.contributor.authorSofotli, I
dc.contributor.authorOzgor, D.
dc.contributor.authorPiskin, T.
dc.contributor.authorKayaalp, C.
dc.date.accessioned2024-08-04T20:31:20Z
dc.date.available2024-08-04T20:31:20Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: Our aim was to perform a clinical analysis of small intestinal obstructions caused by surgically treated phytobezoars. Methods: Twenty-four patients, with small intestinal obstructions caused by phytobezoars, underwent surgery in our department between 1998 to 2008, were reviewed retrospectively. Results: Twenty (83.3 %) of 24 patients had previous gastric surgery. Preoperative computed tomography (CT) was performed in nine patients and seven (77.8 %) patients, showed results consistent with a bezoar and subsequently, underwent surgery on the same day. The remaining patients had no preoperative diagnosis of a phytobezoar were typically followed-up for postoperative adhesion intestinal obstruction. Only those patients who showed no response to nonoperative treatment options underwent surgery. The phytobezoar was fragmented and milked into the cecum in 11 (45.8 %) patients or extracted via longitudinal enterotomy in 12 (50 %) patients; the remaining patient (4.2 %) was treated via laparoscopy. Three patients had gastric phytobezoars, which were extracted via gastrotomy. There was no postoperative mortality. Two patients with previous enterotomy had either postoperative wound infection or wound infection and evisceration. Conclusions: Phytobezoars should be considered in the differential diagnosis of acute small yntestinal obstruction in patients with prior gastric surgery, poor dentition, or consume fiber-rich foods. Abdominal CT is useful for both diagnosis and for the decision to perform emergency surgery. When possible, the phytobezoar should be fragmented and milked into the cecum. Laparoscopic fragmentation may be useful in such cases (Tab. 3, Ref. 28). Full Text (Free, PDF) www.bmj.sk.en_US
dc.identifier.endpage161en_US
dc.identifier.issn0006-9248
dc.identifier.issn1336-0345
dc.identifier.issue3en_US
dc.identifier.pmid19507635en_US
dc.identifier.scopus2-s2.0-70349776089en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage158en_US
dc.identifier.urihttps://hdl.handle.net/11616/94885
dc.identifier.volume110en_US
dc.identifier.wosWOS:000265669500006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherComenius Univen_US
dc.relation.ispartofBratislava Medical Journal-Bratislavske Lekarske Listyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectphytobezoaren_US
dc.subjectsmall intestinal obstructionen_US
dc.subjectsurgeryen_US
dc.titleSurgical treatment of phytobezoars causes acute small intestinal obstructionen_US
dc.typeArticleen_US

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