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

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 o...

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Autores principales: Das, Siddharth Sankar, AbdelAziz, Zaid, Bondok, Walid Zakaria Abdelhamid M, Juma, Farah Ibrahim B, Khatib, Feras Hamid A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170185/
https://www.ncbi.nlm.nih.gov/pubmed/37181971
http://dx.doi.org/10.7759/cureus.37353
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author Das, Siddharth Sankar
AbdelAziz, Zaid
Bondok, Walid Zakaria Abdelhamid M
Juma, Farah Ibrahim B
Khatib, Feras Hamid A
author_facet Das, Siddharth Sankar
AbdelAziz, Zaid
Bondok, Walid Zakaria Abdelhamid M
Juma, Farah Ibrahim B
Khatib, Feras Hamid A
author_sort Das, Siddharth Sankar
collection PubMed
description 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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spelling pubmed-101701852023-05-11 A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report Das, Siddharth Sankar AbdelAziz, Zaid Bondok, Walid Zakaria Abdelhamid M Juma, Farah Ibrahim B Khatib, Feras Hamid A Cureus General Surgery 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. Cureus 2023-04-10 /pmc/articles/PMC10170185/ /pubmed/37181971 http://dx.doi.org/10.7759/cureus.37353 Text en Copyright © 2023, Das et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Das, Siddharth Sankar
AbdelAziz, Zaid
Bondok, Walid Zakaria Abdelhamid M
Juma, Farah Ibrahim B
Khatib, Feras Hamid A
A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title_full A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title_fullStr A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title_full_unstemmed A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title_short A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report
title_sort phytobezoar causing terminal ileal obstruction following revision bariatric surgery: a case report
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170185/
https://www.ncbi.nlm.nih.gov/pubmed/37181971
http://dx.doi.org/10.7759/cureus.37353
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