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A Journal on Surgery

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Chirurgia 2002 April;15(2):79-82

language: English, Italian

Intestinal occlusion by phytobezoars

Ragazzi R., Pace G., Cremona S., Vaccaro R., Di Pietro S., Buttafuoco A., Ragazzi S., Pace N.


The authors after having spoken of gastric and intestinal phytobezoar and how they cause the occlusion with the particular symptoms have presented 4 cases of intestinal obstruction by phytobezoar accompanied by related disease. One with gastro resection and gall bladder stones, another with postlaparotomy adhesions for a previous bowel obstruction and a third with colic carcinoma partially occluding the bowel and the last who has had gastroresection and with the usual diet of eating cooked animal cartilage, which was the basis of the phytobezoar. The authors after having indicated the importance of masticating vegetal fibres well and reduction of ingestion of fruits with many seeds specially in those which had gastroresection conclude that in case of intestinal occlusion by phytobezoar immediate surgery with enterotomy, emptying and closure of the bowel has been optimal and determining factor in obtaining the healing of the patient.

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