Bezoars analysis of 107 cases

Zeon, S K; Suh, J S; Oh, J S

Abstract

This study is comprised of analysis of 107 cases of bezoars, bezoars, proved by upper G-I series, endoscopicexamination and surgical exploration, in Kyngpook National Unviersity Hospital, from Jan. 1965 to May 1974.Results were as follows; 1) Male was more affected than female, as 64.5%(69 cases). 2) The peak age incidence was 5-19 year-old (43.8%; 47 cases). 3) Winter was peak seasonal incidence, 62.5%; 67 cases, which suggested arelationship between seasonal incidence and the time of harvest and ingest of persimmon and diospyros lotus. 4)All 107 cases were phytobezoars and there was history of ingestion of persimmon and Diospyros lotus. 5) Bezoarsafter certain gastric operation(involving total or subtotal reasection) were 5 cases (4.7%) and within 2-3 yearsafter the opearation. 6) Gastric ulcerations associated with gastric bezoars were found in 10 cases. 7) Sites ofbezoars were ileum (47 cases;39.1%), stomach(36 cases; 30.0%) and jejunum (20 cases; 20.0%) as frequency. And only 2 cases were found in the site as colon, but also found in small bowel loops in those cases. The latter suggesteddifficulty of passage of the bezoar beyond the ileocecal junction. 8) Single bezoar was more than multiple, as 87cases to 20 cases. 9) Chief complaints or symptoms were abdominal pain(in epigastrium, whole addomen orperiumbilical area), vomiting, palpable mass and melena, as frequency.