The word “bezoar” corresponds to accumulation of undigestible foreign In the clinical practice, bezoars correspond to rare findings. Bezoar gástrico. Bezoar gástrico como complicación de la cirugía de obesidad mórbida. Caso clínico y revisión de la bibliografíaGastric food bezoar as a complication of bariatric. Request PDF on ResearchGate | On Jun 20, , Audel Pedroza and others published Bezoar gástrico de plástico como causa de.

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She recovered well from the procedure without any complications, had a psychological evaluation and was symptom-free on discharge.

The authors report bezozr conflicts of interest in relation to this work; specifically they have no affiliation and have received no payment from The Coca-Cola Company.

Small bowel obstruction due to trichobezoar: For patients with mild symptoms due to gastric bezoars, it is suggested initial treatment with chemical dissolution.

Bezoar gástrico como complicación de banda gástrica en manejo de obesidad mórbida: Caso clínico

Southern Medical Association; These opinions include the mucolytic effect of NaHCO 3 in Coca-Cola, 25 permanent acid media provided by carbonic acid and phosphoric acid found in Coca-Cola, 20 and eased digestion caused by carbonic acid bubbles that penetrate into the bezoar through the microscopic pores on its surface.

Tomographic sections of the abdomen demonstrated a mass with “entangled bezooar occupying the whole gastric lumen Figure 2.

Gastric trichobezoars – sonographic and computed tomographic appearance.

The patients may additionally develop feelings of distension and dyspepsia, dysphagia, poor appetite and weight loss, and gastrointestinal system bleeding.


If this is performed to remove bezoars, the gasgrico of the stomach and small bowel should be examined to exclude other retained bezoars. Surgical management was indicated once the diagnosis was confirmed. The fist intestinal loops were free Figure 1.

Our patient had a history of trichophagia and psychological management to control her psychiatric disorder was successful and at 6-year follow-up she is symptom free and had no further recurrence of trichobezoar. The patient was referred to the center of diagnostic imaging, undergoing abdominal sonographic study that demonstrated an echogenic mass in the epigastric region with intense posterior acoustic shadowing. Bezoars are usually discovered as an incidental finding on imaging performed for evaluation of nonspecific symptoms.

Services on Demand Journal. Gatsrico phytobezoars may be treated by nasogastric Coca-Cola lavage. Ha et al showed intestinal obstruction resulted from incomplete breaking of gastric phytobezoars.

The present report describes the case of a female, year-old patient with a large epigastric mass who was submitted to clinical and imaging investigation and subsequent surgical gxstrico.

The bezoars although rare, when undiagnosed can lead to complications such as ulcers, gastric bleeding or perforation and obstruction. Her diabetes, as well as dental prosthesis were risk factors for bezoar formation. How to cite this article.

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Bezoars were originally described by reports dated years BC as found in the stomach of mountain goats in the Western region of Persia. Breaking the bezoar with Coca-Cola, which was first reported in by Ladas et al, has been performed in five patients and successful outcomes have been obtained by irrigating the stomach with three liters of Coca-Cola given through a nasogastric tube within 12 hours.


Since the patient refused the application gastrjco a nasogastric catheter, she drank the Coca-Cola Zero orally at a dose of mL three times daily. The physical examination revealed an epigastric mass motionless, stony, with poorly defined limits, painful on palpation and about 7 cm diameter.

World J Gastroenterol ; Discussion Although the prevalence of bezoars has been reported as 0. Bezaor main clinical symptoms and signs include abdominal pain, epigastric distress, nausea, bezoae, and obstruction of the small intestine. Her laboratory results were within the normal ranges leukocyte 4. Bezoars; Gastric dilatation; Gastric outlet obstruction; Dyspepsia.

Giant gastric trichobezoar: a case report and literature review

Abstract Background A year-old female patient presented with a chief complaint of upper abdominal pain. It was decided to undergo gastrotomy and extraction of the bezoar. The postoperative course was uneventful with resolution of the gastrointestinal symptoms. This article has been cited by other articles in PMC.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Additionally it must be considered that the finding of a palpable mass during the gestation is masked by the large uterine volume. Pharmacobezoar complicating treatment with sodium alginate.

Gastrco was no dehydration, halitosis or lymphadenopathy.