Migration of gastric bezoars leading to secondary ileus

Hsuan-Wei Chen, Heng-Cheng Chu

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. © 2011 The Japanese Society of Internal Medicine.
Original languageEnglish
Pages (from-to)1993-1995
Number of pages3
JournalInternal Medicine
Issue number18
Publication statusPublished - 2011
Externally publishedYes


  • Gastric bezoar
  • Gastrointestinal obstruction
  • Migration
  • hemoglobin
  • abdominal distension
  • abdominal pain
  • abdominal radiography
  • adult
  • anemia
  • anorexia
  • article
  • bezoar
  • case report
  • computer assisted tomography
  • epigastric fullness
  • epigastric pain
  • female
  • gastroscopy
  • human
  • ileus
  • intestine loop
  • laparoscopic surgery
  • obesity
  • Roux Y anastomosis
  • satiety
  • treatment failure
  • vomiting
  • Abdominal Pain
  • Bezoars
  • Carbonated Beverages
  • Endoscopy, Gastrointestinal
  • Female
  • Foreign-Body Migration
  • Humans
  • Ileus
  • Intestinal Obstruction
  • Middle Aged
  • Radiography, Abdominal
  • Stomach
  • Tomography, X-Ray Computed
  • Treatment Outcome


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