Recurrent gastric bezoars. A new approach to treatment and prevention.

Abstract

A recurrent gastric phytobezoar was successfully dispersed using an endoscopically directed intermittent jet of dilute papain. Dissolution analysis of a retrieved bezoar fragment showed pancrelipase and Adolph's Meat Tenderizer to be effective specific solvents. The patient remained free of symptoms while on a prophylactic regimen of pancrelipase taken daily. However, when the patient discontinued his medication, the bezoar recurred. The dissolution process was successfully repeated. Selecting a reagent on the basis of demonstrated effectiveness should enhance the chance of successful dissolution of a phytobezoar, whereas prophylactic doses of the reagent may prevent its recurrence.

• Authors: T W Klamer, M H Max
• Journal: American journal of surgery (Am J Surg) Vol. 145 Issue 3 Pg. 417-9 (Mar 1983) ISSN: 0002-9610 [Print] United States
• PMID: 6837873 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Bezoars (diagnosis, therapy)
• Gastroscopy
• Humans
• Male
• Recurrence
• Stomach