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Acta Medica Iranica، جلد ۵۷، شماره ۶، صفحات ۳۹۵-۳۹۷
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عنوان انگلیسی A bezoar causing bowel obstruction after Roux-en-Y Gastric Bypass: a case report
چکیده انگلیسی مقاله Introduction: We aimed to present a patient with phytobezoar causing small bowel obstruction after Roux-en-Y gastric bypass Case presentation:  Thirty years old women with a history of prior Roux-en-Y gastric bypass due to morbid obesity three years ago presented with colicky abdominal pain, distention, nausea, vomiting and obstipation. Initial abdominal X-ray showed various distended small bowel loops with air-fluid levels. Patient was taken to OR for laparoscopic exploration and a phytobezoar was found in distal jejunum. The bezoar was fragmented and flushed through cecum. Patient tolerated the surgery and her symptoms relieved without complication. Moreover, she received dietary consultation in order to prevent future recurrences Discussion: Small bowel obstruction in a patient with prior abdominal surgery is mainly caused due to adhesions, stenosis of anastomosis and hernias. An uncommon cause for obstruction is bezoar formation. Majority of patients with bezoars have a history of gastric surgery. Diagnostic imaging is not always helpful and surgical exploration is sometimes required for diagnosis. Treatment is mainly surgical, but conservative medical treatment is also reported to be helpful. Apart from removal of bezoar, a dietary consultation is required to avoid eating habits leading to bezoar formation. Conclusion: Bariatric surgery is becoming more common thus its complications are becoming more common as well. Majority of patients with bezoars have a prior history of gastric surgery, therefore it is important to maintain a high level of suspicion for timely diagnosis of bezoars in patients with prior history of bariatric surgery, especially Roux-en-Y gastric bypass.
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نویسندگان مقاله | Alireza Tavassoli


| Mehrdad Fakhlaei


| Fatemeh Sadat Abtahi Mehrjardi


| Mehrdad Gazanchian


نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/7115
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