diospyros and Intestinal-Obstruction

Topics: Bezoars; Diospyros; Fruit; Humans; Intestinal Obstruction

Topics: Adult; Bezoars; Diospyros; Female; Humans; Intestinal Obstruction; Intestine, Small; Stomach; Treatment Outcome

Topics: Aged; Bezoars; Diospyros; Fruit; Humans; Intestinal Obstruction; Intestine, Small; Male

Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

Topics: Aged; Bezoars; Diagnosis, Differential; Diospyros; Female; Humans; Intestinal Obstruction; Intestine, Small; Radiography, Abdominal

Diospyrobezoars are a rare cause of small intestinal obstruction. A 78-year-old man, with a history of persimmons ingestion and gastrectomy, presented with upper abdominal pain and weight loss. The upper gastrointestinal endoscopy showed a huge bezoar in the stomach. After initial endoscopic fragmentation, the abdominal X-ray revealed intestinal obstruction and the colonoscopy showed large fragments of the bezoar filling the terminal ileum. The migrated bezoar pieces were successfully removed by endoscopic fragmentation with a cutting lithotripter.

Topics: Aged; Bezoars; Diagnosis, Differential; Diospyros; Endoscopy, Gastrointestinal; Foreign-Body Migration; Humans; Intestinal Obstruction; Intestine, Small; Male; Radiography, Abdominal; Stomach

Intestinal obstruction is a common clinical entity encountered in surgical practice. The objective of this report is to corroborate an atypical scenario of intestinal obstruction in a Chinese patient and to focus on the diagnosis and treatment. A 27-year-old male presented with a history of gastric pain combined with nausea and abdominal distension that had been present for 5 d. The presence of a foreign body was detected by computed tomography and observed as an abnormal density within the stomach. A diospyrobezoar was revealed during gastroscopy, the extraction of which was prevented due to its size and firmness. An endoscopic holmium laser joined with a snare was used to fragment the obstruction, which was followed by management with a conservative "sandwich" treatment strategy involving intestinal decompression with an ileus tube and Coca-Cola lavage between endoscopic lithotripsy fragmentation procedures. This strategy resulted in the successful removal of the diospyrobezoar along with multiple small bowel obstructions. The patient was discharged after abatement of symptoms. The case presented here demonstrates the implementation of a conservative, yet successful, treatment as an alternative to conventional surgical removal of intestinal obstructions.

Topics: Adult; Bezoars; Carbonated Beverages; Decompression, Surgical; Diospyros; Gastroscopy; Humans; Intestinal Obstruction; Lasers, Solid-State; Lithotripsy, Laser; Male; Therapeutic Irrigation; Tomography, X-Ray Computed; Treatment Outcome

Bezoars are concretions or hard masses of foreign matter that are found in the gastrointestinal tract. Recent reports have demonstrated the efficacy of Coca-Cola administration for the dissolution of phytobezors. Here we report on a 73-year-old man with a very large gastric persimmon diospyrobezoar, and this caused small intestinal obstruction after partial dissolution with oral and injected Coca-Cola.

Topics: Acute Disease; Aged; Bezoars; Carbonated Beverages; Cola; Diospyros; Endoscopy, Gastrointestinal; Humans; Intestinal Obstruction; Intestine, Small; Male; Risk Factors

Topics: Bezoars; Diospyros; Humans; Intestinal Obstruction; Jejunal Diseases; Male; Middle Aged; Vitamin B 12 Deficiency

To present the clinical picture of small bowel obstruction caused by Persimmon phytobezoars in children of Hazara (Northern Pakistan).. Descriptive case series.. Three general surgical units of Ayub Teaching Hospital, Abbottabad from November 1998 to March 2003.. Nineteen children were managed for small bowel obstruction due to persimmon phytobezoars. The age, gender, season at the time of presentation, history of persimmon ingestion, symptoms, signs, site of obstruction, operative procedure and outcome were analyzed.. There were 15 males and 4 females with ages ranging from 4-11 years (mean 7 years). All presented in winter with a positive history of persimmon ingestion. All had signs and symptoms and evidence of small bowel obstruction on plain abdominal x-rays. At laparotomy, ileum was the commonest site of obstruction. Milking of bezoars into caecum was performed in 17 patients while 2 patients required enterotomy for removal of bezoars. Complications occurred in 4 patients. There was no mortality.. Small bowel obstruction in children due to persimmon phytobezoars is uncommon. However, it should be considered pre-operatively as a possible cause of intestinal obstruction in winter in children who have access to the fruit. Laparotomy should be performed for persistent obstruction or signs of strangulation.

Topics: Bezoars; Child; Child, Preschool; Digestive System Surgical Procedures; Diospyros; Female; Humans; Intestinal Obstruction; Intestine, Small; Male; Treatment Outcome

Topics: Calculi; Child; Diospyros; Fruit; Intestinal Obstruction; Seeds; Surgical Procedures, Operative

Topics: Bezoars; Diospyros; Fruit; Gastrointestinal Diseases; Humans; Intestinal Obstruction; Medical Records

Topics: Bezoars; Digestive System; Diospyros; Foreign Bodies; Gastrointestinal Diseases; Humans; Intestinal Obstruction; Medical Records