@article{d3f13f32e25e4275a97edb1d56149677,
title = "Migration of gastric bezoars leading to secondary ileus",
abstract = "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. {\textcopyright} 2011 The Japanese Society of Internal Medicine.",
keywords = "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",
author = "Hsuan-Wei Chen and Heng-Cheng Chu",
note = "被引用次數：2 Export Date: 22 March 2016 CODEN: IEDIE 通訊地址: Chu, H.-C.; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterTaiwan; 電子郵件： chu5583@ms55.hinet.net 化學物質/CAS: hemoglobin, 9008-02-0 參考文獻: Lee, J., Bezoars and foreign bodies of the stomach (1996) Gastrointest Endosc Clin N Am, 6, pp. 605-619; Assalia, A., Small bowel obstruction secondary to bezoar impaction: A diagnostic dilemma (2007) World J Surg, 31, pp. 1976-1979; Zarling, E.J., Thompson, L.E., Nonpersimmon gastric phytobezoar. A benign recurrent condition (1984) Arch Intern Med, 144, p. 959; Vargas, J.D., Spivak, A.M., A perfect storm. Gastric bezoar (2009) Am J Med, 122, pp. 519-521; Debakey, M., Oshner, A., Bezoars and concretions (1938) Surgery, 4, p. 934; Yen, H.H., Chou, K.C., Soon, M.S., Chen, Y.Y., Electronic clinical challenges and images in GI. Migration of a gastric bezoar (2008) Gastroenterology, 134, pp. e1-e2; Ha, S.S., Lee, H.S., Jung, M.K., Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola (2007) Korean J Intern Med, 22, pp. 300-303; Chen, J.H., Chen, K.Y., Chang, W.K., Intestinal obstruction induced by phytobezoars (2010) CMAJ, 182, pp. E797; Beppu, T., Sugimoto, K., Shiraki, K., Takei, Y., Yoshimura, H., Tagawa, S., (2008) Phytobezoars. Intern Med, 47, p. 119",
year = "2011",
doi = "10.2169/internalmedicine.50.5637",
language = "English",
volume = "50",
pages = "1993--1995",
journal = "Internal Medicine",
issn = "0918-2918",
publisher = "Japanese Society of Internal Medicine",
number = "18",
}
