You are on page 1of 1

1/6/2014

Phytobezoar - Wikipedia, the free encyclopedia

Phytobezoar
FromWikipedia,thefreeencyclopedia

Aphytobezoarisatypeofbezoar,ortrappedmassinthestomach,thatconsistsofcomponentsof indigestibleplantmaterial,suchasfibres,skinsandseeds.Whilephytobezoarsmaybediscovered incidentallyonbariumxrayorendoscopictestingofthestomach,individualswithphytobezoarsmay developsymptoms:nausea,vomiting,gastricoutletobstruction,perforation,abdominalpain,andbleeding havebeenreported.[1]Conditionsthatleadtodecreasedmotilityinthestomach(gastroparesis)and surgeriesonthestomach(suchasvagotomyorgastricbypass)areassociatedwiththedevelopmentof phytobezoars.[2]Aspecifictypeofphytobezoar,termedadiospyrobezoar,isassociatedwithingestionof unripepersimmons,whichcontainasolubletannincalledshibuolthatpolymerizesintoacoagulative celluloseproteincompoundintheacidenvironmentofthestomach,toformthebezoar.[3]Inadditionto theirpresenceinhumanstomachs,phytobezoarshavebeendocumentedinthestomachsofslaughtered planteatinganimals.[1] Severaltreatmentsforphytobezoarshavebeendescribed.Endoscopyinvolvesusingafibreopticflexible cameratoidentifythephytobezoar,thatcanbeevacuatedfromthestomachusingvariousassisteddevices (suchasRothbaskets,snares,orDormiabaskets).[1][3]Ifthephytobezoarcannotberemovedduetosize, electrohydrauliclithotripsy,mechanicallithotripsy,snares,orNd:YAGlasertherapymaybeusedto fragmentthemass.[3]Papain(meattenderizer)andcellulaseenzymeshavebeenusedtohelpreducethe sizeofphytobezoars.[3]CocaColaingestionhasbeenfoundtobeparticularlyusefultodecreasethesize ofdiospyrobezoars.[3]Whenallothermeasureshavefailed,surgicalgastrotomyisrequiredtoevacuatethe bezoar.[3]

References
1. ^ a b cChisholm,E.M.Leong,H.T.Chung,S.C.Li,A.K.(1992)."Phytobezoar:Anuncommoncauseof smallbowelobstruction". AnnalsoftheRoyalCollegeofSurgeonsofEngland 74(5):342344.PMC2497638 (//www.ncbi.nlm.nih.gov/pmc/articles/PMC2497638).PMID1416706 (//www.ncbi.nlm.nih.gov/pubmed/1416706). 2. ^Rubin,M.Shimonov,M.Grief,F.Rotestein,Z.Lelcuk,S.(1998)."Phytobezoar:Ararecauseof intestinalobstruction". Digestivesurgery 15(1):5254.PMID9845563 (//www.ncbi.nlm.nih.gov/pubmed/9845563). 3. ^ a b c d e fZhang,R.L.Yang,Z.L.Fan,B.G.(2008)."Hugegastricdisopyrobezoar:Acasereportand reviewofliteratures". Worldjournalofgastroenterology:WJG 14(1):152154.PMC2673384 (//www.ncbi.nlm.nih.gov/pmc/articles/PMC2673384).PMID18176981 (//www.ncbi.nlm.nih.gov/pubmed/18176981).

Retrievedfrom"http://en.wikipedia.org/w/index.php?title=Phytobezoar&oldid=530926120" Categories: Gastroenterology Thispagewaslastmodifiedon13December2013at04:15. TextisavailableundertheCreativeCommonsAttributionShareAlikeLicenseadditionaltermsmay apply.Byusingthissite,youagreetotheTermsofUseandPrivacyPolicy. WikipediaisaregisteredtrademarkoftheWikimediaFoundation,Inc.,anonprofitorganization.

http://en.wikipedia.org/wiki/Phytobezoar

1/1