Bezoar

DEFINITION

Trichobezoar = hair
Phytobezoar = agglomerated vegetable fibres.
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EPIDEMIOLOGY

Predisposing conditions
Gastrectomy

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AETIOLOGY

Can occur following gastrectomy
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BIOLOGICAL BEHAVIOUR

Pathophysiology

Loss of pepsin / acid / titurating functions.
+ MMC!
Fruits with cellulose are implicated, e.g. oranges

Complications
Pressure of the mass can cause bleeding / ulceration.
A rare cause of obstruction.
D E A B M I M
 

MANIFESTATIONS

Symptoms

Fullness


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INVESTIGATIONS

Endoscopy
Diagnostic
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MANAGEMENT

Endoscopic
Most can be broken down and pushed through via endoscopy.

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REFERENCES
Doherty