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2 - Phytobezoars of gastrointestinal system
Cemal Kaya, Uygar Demir, Tahir Atun, Özgür Bostancı, Mustafa Arısoy, Şener Okul, Gürhan Işıl, Mehmet Mihmanlı
Purpose: Gastric and/or small intestinal phytobezoar are rare but occasionally apply with acute abdomen findings. In our study, we aimed to determine diagnosis and treatment approach for gastric and/or small intestinal phytobezoar.
Material and Method: Data of the patients operated for phytobezoar between december 1999-november 2010 were evaluated retrospectively. Age, sex, previous operations, comorbid disease, complaintments and treatments of the patients were studied.
Results: Sum of the patients were 6 (4 female and 2 male) and mean age of the patients was 63,3 year. Four of the patients were admitted to emergency service, 2 were admitted to policlinics with elective course. Two of the patients were operated for peptic ulcus perforations, and 1 patients has diabetes mellitus (DM). Abdominal ultrasonography (USG) was performed for 2 patients, and abdominal computed tomography (CT) was performed for 2 patients, but phytobezoars not diagnosed with radiologically in non of the patients. Phytobezoars were diagnosed with endoscopy before the operation in 3 patients. Phytobezoars are not suitable for endoscopic treatment so the patients have gone to operation. In the operation, gastric phytobezoars was removed with gastrotomy in 2 patients, gastric and intestinal phytobezoars removed with gastrotomy and enterotomy 1 patient and intestinal phytobezoar was removed with enterotomy in 2. Segmenter small intestinal resection was performed and phytobezoar was removed in the patient with intestinal perforation. Patient was discarged from the hospital mean 7 days without postoperatif complication.
Conclusion: Phytobezoars was the rare cause of intestinal obstructions. Phytobezoars should be remembered in the patients with intestinal obtruction findindings and gastric-duodenal operation history.
Keywords: Phytobezoar, intestinal obstruction
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