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Observations in Two Patients With Hypothyroidism and Previous Gastric Surgery

David Mangold, MD; Gerald L. Woolam, MD; Raul Garcia-Rinaldi, MD, PhD

Arch Surg. 1978;113(8):1001-1003.

Abstract
• Two patients had small-bowel obstruction due to phytobezoars. Both patients were hypothyroid. One patient had undergone a previous pyloroplasty for pyloric stenosis and the other a truncal vagotomy and a pyloroplasty for a duodenal ulcer. Similarities and differences between the two cases and the possible predisposing factors in the formation of the phytobezoars are discussed. The recognition of high-risk patients, and their education to prevent phytobezoars are emphasized.

(Arch Surg 113:1001-1003, 1978)

Author Affiliations
From the Department of Surgery, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication Oct 20, 1977.

Reprint requests to Department of Surgery, Baylor College of Medicine, Houston, TX 77030 (Dr Garcia-Rinaldi).