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Esophageal and small bowel obstruction by occupational bezoar: report of a case

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Author(s): Pitiakoudis Michail | Tsaroucha Alexandra | Mimidis Konstantinos | Constantinidis Theodoros | Anagnostoulis Stavros | Stathopoulos George | Simopoulos Constantinos

Journal: BMC Gastroenterology
ISSN 1471-230X

Volume: 3;
Issue: 1;
Start page: 13;
Date: 2003;
Original page

ABSTRACT
Abstract Background Phytobezoar may be a cause of bowel obstruction in patients with previous gastric surgery. Most bezoars are concretions of poorly digested food, which are usually formed initially in the stomach. Intestinal obstruction (esophageal and small bowel) caused by an occupational bezoar has not been reported. Case presentation A 70-year old male is presented suffering from esophageal and small bowel obstruction, caused by an occupational bezoar. The patient has worked as a carpenter for 35 years. He had undergone a vagotomy and pyloroplasty 10 years earlier. The part of the bezoar, which caused the esophageal obstruction was removed during endoscopy, while the part of the small bowel was treated surgically. The patient recovered well and was discharged on the 8th postoperative day. Conclusions Since occupational bezoars may be a cause of intestinal obstruction (esophageal and/or small bowel), patients who have undergone a previous gastric surgery should avoid occupational exposures similar to the presented case.
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