Korean J Helicobacter Up Gastrointest Res.  2011 Dec;11(3):201-204. 10.7704/kjhugr.2011.11.3.201.

Gastric Outlet Obstruction by Impacted Phytobezoar at the Normal Duodenal Bulb

Affiliations
  • 1Department of Internal Medicine, Uijongbu St. Mary Hospital, The Catholic University of Korea College of Medicine, Uijongbu, Korea. kimss@catholic.ac.kr

Abstract

Phytobezoars are the most common bezoars composed of non-digestible food materials, such as fiber, seeds, skin of fruits. The predisposing factors of bezoars are altered gastrointestinal motility and anatomy. It is uncommon for bezoars occurring in patient with normal gastric anatomy to cause impaction on the duodenal bulb. We experienced a phytobezoar at the duodenal bulb causing gastric outlet obstruction in a patient who had no predisposing factors. The patient was treated by endoscopic removal.

Keyword

Phytobezoar; Duodenum; Obstruction; Endoscopic treatment

MeSH Terms

Bezoars
Duodenum
Fruit
Gastric Outlet Obstruction
Gastrointestinal Motility
Humans
Seeds
Skin
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