Gastric Bezoar Following Gastrojejunal Anastomosis: An Unwanted Case Presentation
Bezoars are a form of concretions resulting from the indigestible material in the gastro-intestinal tract. Depending on the nature
of the content bezoar can be phytobezoars, trichobezoar, pharmacobezoar and lactobezoar. In general, gastric phytobezoars are
common in patients with dentition problems, impaired digestion, psychiatric ailment, decreased gastric motility and manipulation
of gastro-intestinal (GI) tract. They usually have a wide range of clinical presentations from abdominal discomfort and weight loss
to small bowel obstruction. We report a case of gastric bezoar who previously underwent gastrojejunostomy for duodenal ulcer,
presenting with mass per abdomen. Bezoar presenting as a mass per abdomen is uncommon. We recommend routine use of upper
GI (UGI) endoscopy for all the cases of mass per abdomen even if there are no UGI symptoms, especially following gastric surgery.
of the literature with an analysis of 303 collected cases and a presentation
of 8 additional cases. Surgery 1939;5:132-60.
2. Kadian RS, Rose JF, Mann NS. Gastric bezoars – Spontaneous resolution.
Am J Gastroenterol 1978;70:79-82.
3. Dorn HF, Gillick JL, Stringel G. Laparoscopic intragastric removal of giant
trichobezoar. JSLS 2010;14:259-62.
4. Bowden TA Jr, Hooks VH 3rd, Mansberger AR Jr. The stomach after surgery.
An endoscopic perspective. Ann Surg 1983;197:637-44.
5. AH, Abdul-Saboor M, Haider F, Al-Assas MM. Gastrointestinal
bezoar - Case reports and literature review. Bahrain Med Bull 2001;23:38-41.