ArticleInternational journal of surgery case reports2017
Successful endoscopic treatment of gastric phytobezoar: A case report.
Article in International journal of surgery case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 39 citations in OpenAlex.
- Coca-ColaInternational journal of surgery case reports · 2026Article
- Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital.The Korean journal of helicobacter and upper gastrointestinal research · 2025Article
- Lithobezoar and Phytobezoar Causing Intestinal Obstruction: A Report of Two Cases.Clinical case reports · 2025Article
- Case Report on Rapunzel syndrome: a large gastric trichobezoar extending to the proximal jejunum in a young adult female.Frontiers in medicine · 2025Article
- Clinical Outcomes of Patients With Gastric Phytobezoars: Implication of Drinking Carbonated Beverages as a Treatment.The Korean journal of helicobacter and upper gastrointestinal research · 2024Article
- Gastric trichobezoar: An uncommon cause of epigastric pain: A case report.Clinical case reports · 2022Article
- Acute pancreatitis and small bowel obstruction caused by a migratory gastric bezoar after dissolution therapy: A case report.World journal of clinical cases · 2021Article
- Endoscopic treatment for a giant gastric bezoar: Sequential use of electrohydraulic lithotripsy, alligator forceps, and snares.JGH open : an open access journal of gastroenterology and hepatology · 2021Article
- Giant gastric bezoar removal from the stomach using combined dual knife-electric snare treatment: a case report.The Journal of international medical research · 2020Article
- Sleeve Gastrectomy Combined with Nissen Fundoplication as a Single Surgical Procedure, Is It Really Safe? A Case Report.The American journal of case reports · 2020Article
- Giant phytobezoar; an unusual cause of gastric outlet obstruction: A case report with literature review.International journal of surgery case reports · 2020Article
- Surgical and Endoscopic Treatment of a Double Phytobezoar Causing Ileus and Jaundice: A Case Report.Iranian journal of medical sciences · 2019Article
- Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review.Gastroenterology research and practice · 2019Review
- Review
- Endoscopic versus Surgical Intervention for Jejunal Bezoar Formation.ACG case reports journal · 2018Article
- Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars.Annals of gastroenterologyReview
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGastric bezoars are a rare condition associated with situations of gastric dysmotility and prior gastric surgery, though sometimes they can present without any risk factor. We describe the first successful treatment in medical literature of a large gastric bezoar in the outpatient setting through endoscopic fragmentation. CASE PRESENTATION: A 76-year-old man was referred to our outpatient endoscopy clinic because of dyspepsia and epigastric pain. Upper GI endoscopy with a standard endoscope revealed a 10-cm-diameter gastric phytobezoar with necrotic pressure ulcer of the angulus. We fragmentized the bezoar into smaller pieces, with complete dissolution and without any complication. The patient was then promptly discharged home with a medical therapy. Follow-up endoscopy at 6 months showed the total disappearance of any residual fibers. DISCUSSION: Different types of bezoars are described in literature, of which phyto- and trychobezoars are the most frequent. They can be absolutely asymptomatic or can arise with epigastric pain, pressure ulcer bleeding, gastrointestinal perforation or small bowel obstruction. The treatment is debated though endoscopic removal or fragmentation with the help of Coca-Cola lavages has showed the best success rate. The main experiences in literature concern hospitalized patients or describe treatment techniques which require overnight stays. An effective and rapid treatment in the outpatient setting is described in our experience, without short- or long-term complications.
conclusionThe endoscopic fragmentation of large gastric bezoars in the outpatient setting is safe with a good clinical course.
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