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Efferent limb of gastrojejunostomy obstruction by a whole okra phytobezoar: Case report and brief review.
MedLine Citation:
PMID:  22624073     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
A phytobezoar is one of the intraluminal causes of gastric outlet obstruction, especially in patients with previous gastric surgery and/or gastric motility disorders. Before the proton pump inhibitor era, vagotomy, pyloroplasty, gastrectomy and gastrojejunostomy were commonly performed procedures in peptic ulcer patients. One of the sequelae of gastrojejunostomy is phytobezoar formation. However, a bezoar causing gastric outlet obstruction is rare even with giant gastric bezoars. We report a rare case of gastric outlet obstruction due to a phytobezoar obstructing the efferent limb of the gastrojejunostomy site. This phytobezoar which consisted of a whole piece of okra (lady finger vegetable) was successfully removed by endoscopic snare. To the best of our knowledge, this is the first case of okra bezoar-related gastrojejunostomy efferent limb obstruction reported in the literature.
Authors:
Thant Zin; Myat Maw; Dinker Ramananda Pai; Rosaini Binti Paijan; Myo Kyi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal endoscopy     Volume:  4     ISSN:  1948-5190     ISO Abbreviation:  World J Gastrointest Endosc     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-24     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101532474     Medline TA:  World J Gastrointest Endosc     Country:  China    
Other Details:
Languages:  eng     Pagination:  197-200     Citation Subset:  -    
Affiliation:
Thant Zin, Myat Maw, Dinker Ramananda Pai, Department of Surgery, Melaka Manipal Medical College, 75150 Melaka, Malaysia.
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