Zeki Özsoy1, İsmail Okan1. 1. Department of General Surgery, Gaziosmanpaşa University School of Medicine, Tokat, Turkey.
Abstract
OBJECTIVE: A minimally invasive approach is feasible and successful for the treatment of phytobezoars. We would like to draw attention to the overconsumption of Sorbus domestica and discuss the management options of patients presenting with different symptoms due to phytobezoars. MATERIAL AND METHODS: Data from patients diagnosed with phytobezoars in the Department of General Surgery from 2010 to 2016 were prospectively collected and evaluated. RESULTS: Twenty patients diagnosed with phytobezoars were included in the study. The etiology of phytobezoar was Sorbus domestica seeds in 12 patients, watermelon seeds in two patients, Japanese persimmon seeds in one patient, and unidentified in five patients. Fourteen patients underwent surgery, while the remaining patients were treated conservatively. Minimally invasive surgery was used in all but two cases, where the surgery was converted to laparotomy. Two patients developed postoperative morbidity. There was no mortality. CONCLUSION: The treatment modality should be selected for each patient according to the presenting symptoms and characteristics of phytobezoar. In cases where surgery is performed, a minimally invasive approach is feasible and successful for the treatment of ileus.
OBJECTIVE: A minimally invasive approach is feasible and successful for the treatment of phytobezoars. We would like to draw attention to the overconsumption of Sorbus domestica and discuss the management options of patients presenting with different symptoms due to phytobezoars. MATERIAL AND METHODS: Data from patients diagnosed with phytobezoars in the Department of General Surgery from 2010 to 2016 were prospectively collected and evaluated. RESULTS: Twenty patients diagnosed with phytobezoars were included in the study. The etiology of phytobezoar was Sorbus domestica seeds in 12 patients, watermelon seeds in two patients, Japanese persimmon seeds in one patient, and unidentified in five patients. Fourteen patients underwent surgery, while the remaining patients were treated conservatively. Minimally invasive surgery was used in all but two cases, where the surgery was converted to laparotomy. Two patients developed postoperative morbidity. There was no mortality. CONCLUSION: The treatment modality should be selected for each patient according to the presenting symptoms and characteristics of phytobezoar. In cases where surgery is performed, a minimally invasive approach is feasible and successful for the treatment of ileus.
Authors: Savaş Yakan; Ahmet Sirinocak; Kemal Emre Telciler; Mehmet Tahsin Tekeli; Ali Galip Deneçli Journal: Ulus Travma Acil Cerrahi Derg Date: 2010-09
Authors: Wadah Abdelazim Ahmed Ali; Zafar Iqbal Gondal; Ali Abdulla Ali Khammas Yammahi; Shadi Faour Ahmed Hushki; Faisal Badri; Yousif Hussein ElTayeb Journal: J Surg Case Rep Date: 2013-07-23