Small Bowel Obstruction from Gastric Bezoar
Word Count : 3000
Objectives to cover:
Introduction: Small bowel obstruction can rarely result from gastric bezoars causing luminal blockage.
Etiology: Bezoars often form from indigestible materials like hair, fiber, or medications.
Risk Factors: Previous gastric surgery, poor mastication, and high-fiber diets increase risk.
Clinical Presentation: Patients typically present with abdominal pain, vomiting, and distension.
Diagnostic Evaluation: Imaging such as X-ray, CT scan, or ultrasound helps identify bezoar location.
Management: Initial management may include nasogastric decompression and supportive care.
Surgical Intervention: Surgery is indicated for persistent obstruction or complications like perforation.
Prevention: Dietary modification and treatment of underlying motility disorders reduce recurrence.
Conclusion: Early recognition of bezoar-induced obstruction ensures prompt treatment and better outcomes.