Efferent limb of gastrojejunostomy obstruction by a whole okra phytobezoar:Case report and brief review  

作　　者：Thant Zin Myat Maw Dinker Ramananda Pai Rosaini Binti Paijan Myo Kyi 

机构地区：[1]Department of Surgery,Melaka Manipal Medical College,75150 Melaka,Malaysia [2]Department of Surgery,Hospital Pakar Sultanah Fatimah,Muar Johor,Malaysia

出　　处：《World Journal of Gastrointestinal Endoscopy》2012年第5期197-200,共4页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：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.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.

关 键 词：Efferent LIMB OBSTRUCTION GASTROJEJUNOSTOMY OKRA PHYTOBEZOAR 

分 类 号：R656.6[医药卫生—外科学]