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KMID : 0371319770190060057
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Journal of the Korean Surgical Society
1977 Volume.19 No. 6 p.57 ~ p.60
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Intestinal Obstruction due to Phytobezoar Following vagotomy and Pyloroplasty
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崔泳吉/Choi, Y.K.
梁精鉉/高錫煥/金洙泰/Yang, J.H./Koh, S.H./Kim, S.T.
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Abstract
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Phytobezoar, among most of the complications seen after surgery for gastroduodenal ulcer, is known to occur with some frequency but often missed entity.
This is a case of small bowel obstruction due to phytobezoars after vagotomy and pyloroplasty for duodenal ulcer.
A 33-year-old male patient was admitted to Department of Surgery, S.N.U.H. with compla-ints of abdominal pain, nausea and vomiting on October 6th, 1976. He had history of surgery for duodenal ulcer 1 year before this attack. On exploration, two phytobezoars measuring 7cm and 5cm in diameter were found obstructing small bowel at terminal ileum. Segmental resection and anastomosis of involved ileum was performed, and postoperative course was uneventful.
It is felt that previous surgery had interfered with the mechanical and acid secreting mechanisms of the gastrointestinal tract causing formation of bezoar.
Almost all of this complication can be eliminated by avoidance of offending foods. Any patient undergoing vagotomy, pyloroplasty or partial gastric resection should be counseled with regard to, the foods they can safety eat and how to chew them properly.
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