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Nancy A. Diettrich, MD; Frederick C. Gau, MD

Arch Surg. 1985;120(4):432-435.

Abstract
• Thirty-three consecutive patients with 38 bezoars were identified since 1975. Twenty-nine patients (87.8%) had undergone previous gastric surgery. The average interval between surgery and bezoar diagnosis was 7.7 years. There were 14 men and 19 women (mean age, 61.5 years). Epigastric distress (84%) and weight loss (31%) were the most common complaints. Twenty-two (75.9%) of 29 barium studies were falsely negative. Attempts at prior enzymatic dissolution had failed in three patients. Three (13.6%) of 22 patients available for follow-up had multiple episodes of bezoar formation. All patients underwent esophagogastroduodenoscopy for diagnosis and concomitant fragmentation and "flushing" of the bezoar for resolution. The success rate was 100%; no complications occurred.

(Arch Surg 1985;120:432-435)

Author Affiliations
From the Department of Surgery, St Francis Hospital, Evanston, Ill. Dr Diettrich is currently at Columbus-Cuneo-Cabrini Medical Center, Chicago.

Footnotes
Accepted for publication Nov 5, 1984.

Read before the Seventh Interchapter Meeting of the American College of Surgeons, Puerto Vallarta, Mexico, March 2, 1984.

Reprints not available.

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