A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report

被引：1
作者：
Das, Siddharth Sankar [1 ]
AbdelAziz, Zaid [1 ]
Bondok, Walid Zakaria Abdelhamid M. [1 ]
Juma, Farah Ibrahim B. [1 ]
Khatib, Feras Hamid A. [1 ]
机构：
[1] Dubai Hosp, Gen Surg, Dubai, U Arab Emirates
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 04期
关键词：
bariatric surgery; enterotomy; intestinal obstruction; phytobezoar; rygb; SMALL-BOWEL OBSTRUCTION; GASTRIC BYPASS-SURGERY; SPECTRUM; HERNIA; BEZOAR;
D O I：
10.7759/cureus.37353
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Bezoars are a rare complication causing small bowel obstruction. A phytobezoar causing terminal ileum obstruction following a Roux-en-Y gastric bypass (RYGB) is extremely rare. A middle-aged woman with post-sleeve gastrectomy weight regain, converted to RYGB, presented 17 months after surgery with obstructive symptoms due to an impacted phytobezoar in the terminal ileum. Diagnostic laparoscopy, enterotomy, and extraction of the large impacted phytobezoar from the terminal ileum relieved the obstruction. Swallowing improperly masticated food in altered gastrointestinal anatomy due to RYGB can cause a phytobezoar in any part of the gastrointestinal tract. These patients need proper nutritional counseling and psychological evaluation to prevent this rare complication.
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