[A Case of Intestinal Obstruction Caused by a Bezoar after Pylous-Preserving Gastrectomy].

Abstract

A 65-year-old woman with a history of pylorus-preserving gastrectomy(PPG)for early gastric cancer visited our hospital because of vomiting. Gastrointestinal endoscopy revealed a large bezoar in the anastomotic site of the stomach. Because the bezoar was too large to be collected orally, the dissolution therapy with taking Coca-Cola®was continued. On the 3rd day after hospitalization, she felt acute abdominal pain with vomiting. Computed tomography revealed intestinal obstruction by a mass with air bubbles inside in the ileum. Emergency operation was performed under a diagnosis of intestinal obstruction due to the bezoar. The black brown bezoar sized 80×35×30mm was extracted through an ileotomy. The delayed gastric empty is considered to involve in the bezoar formation. Therefore, the appropriate education of diet and periodic endoscopic screening are necessary for patients with large amounts of gastric residues especially after PPG. In the dissolution therapy, physicians need to be careful of intestinal obstruction by a bezoar.

• Authors: Yuzo Yamazato, Toshiyuki Kosuga, Daisuke Ichikawa, Takeshi Kubota, Kazuma Okamoto, Hirotaka Konishi, Atsushi Shiozaki, Hitoshi Fujiwara, Tomohiro Arita, Ryo Morimura, Yasutoshi Murayama, Yoshiaki Kuriu, Hisashi Ikoma, Masayoshi Nakanishi, Eigo Otsuji
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 44 Issue 12 Pg. 1269-1271 (Nov 2017) ISSN: 0385-0684 [Print] Japan
• PMID: 29394603 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Bezoars (etiology, surgery)
• Carbonated Beverages
• Female
• Gastrectomy (adverse effects)
• Humans
• Intestinal Obstruction (etiology, surgery)
• Stomach Neoplasms (surgery)