ArticleGastroenterology and hepatology from bed to bench2021
Risk factors, endoscopic findings, and treatments in upper gastrointestinal bezoars: multi-center experience in Iran.
Article in Gastroenterology and hepatology from bed to bench, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Analysis of the Clinical Characteristics and Endoscopic Features of Phytobezoar-Induced Ulcers and Gastric Ulcers: A Single-Center Retrospective Study in China.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Case Report: Successful endoscopic treatment of gastric outlet obstruction due to duodenal persimmon phytobezoar.Frontiers in medicine · 2026Article
- Troublesome Weight Loss: A Case Report of Large Gastric Phytobezoar.Middle East journal of digestive diseases · 2024Article
- Meat bezoar due to inadequate mastication leading partial bowel obstruction: A case report.International journal of surgery case reports · 2023Article
- Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy.World journal of clinical cases · 2022Article
- An Unusual Presentation of Crohn's Disease Diagnosed Following Accidental Ingestion of Fruit Pits: Report of Two Cases and Review of the Literature.Life (Basel, Switzerland) · 2021Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe current study aimed to investigate the risk factors, endoscopic findings, and treatments of upper gastrointestinal bezoars.
backgroundBezoars are compact masses formed by the accumulation of dietary fiber, undigested food, hair, or medications. The majority of bezoars are asymptomatic, but they may cause serious symptoms or even life-threatening events such as bleeding, obstruction, or perforation.
methodsThis retrospective study was conducted in three gastroenterology clinics between January 2016 and December 2019. Bezoars were detected in 109 of 15,830 endoscopy records (0.68%).
resultsA total of 103 patients (52.4% male) were enrolled in this study. Mean patient age was 60.5±11.3 years. The most frequent risk factors were history of gastric surgery (25.2%), diabetes mellitus (21.3%), hypothyroidism (15.5%), trichophagia (5.8%), and anxiety disorders (2.9%), respectively. The most common endoscopic findings were peptic ulcers (34.9%), erosive gastritis/duodenitis (12.6%), and reflux esophagitis (10.6%). While bezoars were most commonly observed in the stomach (84.4%), the majority of them were phytobezoars (92.2%). The mean number of endoscopic interventions for each patient was 1.5 (range, 1-4). Endoscopy was successful in removing bezoars in 85.4%.
conclusionThe synergistic effect of multiple factors for a long time, such as gastrointestinal surgery, diabetes mellitus or psychiatric disorders, may lead to bezoar formation. These risk factors should be avoided or treated in order to prevent bezoar formation and subsequent life-threatening complications.
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Identifiers
33968343PMC8101514W3161325835What OpenQuestion holds
Registered trials
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