Objective: This study aims to evaluate the cases treated for gastrointestinal obstruction due to bezoar in terms of clinical-radiological-endoscopic features and treatment methods.
Methods: Among the patients treated with acute mechanical intestinal obstruction (AMIO) in our hospital between January 2014 and December 2019, 33 patients with bezoar-related AMIO were included in the study. The cases were examined in terms of the presence of comorbidity, tomography and endoscopy features, and treatment modalities.
Results: A history of intraabdominal surgery in 82% of patients (n: 27); 60 % had a history of upper gastrointestinal surgery (n: 20) . DM was accompanied by 27% of the patients (n: 9) and psychiatric disorder in 18% (n: 6). With CT, gastric dilatation was observed in 9 patients, jejunal in 9 patients, jejunoileal in 9 patients, and dilatation in all bowel segments in 6 patients. Endoscopy was performed in 12 patients; 9 had peptic ulcers, 3 were normal. 17 cases were treated with laparotomy, 9 case with a laparoscopic enterotomy, and 3 cases with endoscopic procedures. 4 case was treated with a Coca-Cola injection from a nasogastric catheter and was successful.
Conclusion: It is difficult to diagnose bezoar-related AMIO with clinical findings. Radiological and endoscopic methods are important in diagnosis. Although endoscopic methods are also used successfully for therapeutic purposes, surgical methods are used in distal locations and complicated cases.
Key words: acute mechanical intestinal obstruction,ileus, endoscopy, gastrointestinal surgery
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