Gastrointestinal Tract - Original Article

Bezoar in upper gastrointestinal endoscopy: A single center experience

Volume 31 · Issue 2 · February 2020 Publish Date: February 15, 2020
Volkan Gökbulut 1 Mustafa Kaplan 2 Sabite Kaçar 3 Meral Akdoğan Kayhan 4 Orhan Coşkun 5 Ertuğrul Kayaçetin 6
Full Text HTML
DOI

Published In

Turkish Journal of Gastroenterology

Volume 31 · Issue 2 · February 2020

Pages: 85-90

History

Published Online: February 15, 2020

Copyright © 2020 Volkan Gökbulut, Mustafa Kaplan, Sabite Kaçar, Meral Akdoğan Kayhan, Orhan Coşkun, Ertuğrul Kayaçetin

Volkan Gökbulut
Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Mustafa Kaplan
Department of Gastroenterology, Sultan Abdulhamit Training and Research Hospital, İstanbul, Turkey
Sabite Kaçar
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Meral Akdoğan Kayhan
Department of Gastroenterology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey
Orhan Coşkun
Department of Gastroenterology, Türkiye Yüksek İhtisas University Hospital, Ankara, Turkey
Ertuğrul Kayaçetin
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Gökbulut, V., Kaplan, M., Kaçar, S., Akdoğan Kayhan, M., Coşkun, O., & Kayaçetin, E. (2020). Bezoar in upper gastrointestinal endoscopy: A single center experience. Turkish Journal of Gastroenterology, 31(2), 85–90. https://doi.org/10.5152/tjg.2020.18890
Endnote/Zotero/Mendeley (RIS) BibTeX
Full Text Full Text PDF

Abstract

Background/Aims: We aimed to investigate the association of bezoar with endoscopic findings, risk factors for bezoar occurrence, and the success of endoscopic treatment in a tertiary center. Materials and Methods: This retrospective study was conducted between January 2012 and December 2015. Overall, 8200 endoscopy records were examined and 66 patients with bezoar were included in the study. Results: We enrolled 29 (44%) female and 37 (56%) male patients in this study. The mean age of the patients was 63±9.4 years. The most frequent risk factors were history of gastrointestinal surgery (23%), diabetes mellitus (17%), trichophagia (9%), and anxiety disorder (6%). Gastric ulcer, duodenal ulcer, erosive gastritis, and reflux esophagitis were present in 27%, 11%, 20%, and 23% of the patients, respectively. While bezoars were most commonly observed in the stomach (70%), the majority of them were phytobezoars (91%). The mean number of interventions for each patient was 1.5 (range, 1-6). Endoscopy was successful in removing bezoars in 86.5% of the patients. Among those referred to surgery, seven patients underwent gastrostomy (10.5%); one (1.5%) patient underwent gastroenterostomy because of concomitant pyloric stenosis; and one (1.5%) patient underwent fistula repair surgery due to the development of duodenal fistula caused by bezoar. Conclusion: The findings of this study indicated that bezoars are more common among subjects with history of gastrointestinal surgery, diabetes mellitus, or psychiatric disorders; bezoars are closely related to peptic ulcer and reflux esophagitis; and they can be successfully treated with endoscopy.

Most read articles by the same author(s)

1 2 3 4 5 > >> 
Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 31 · Issue 2 · February 2020
Pages 85-90
DOI 10.5152/tjg.2020.18890
History
Published Online February 15, 2020
Copyright
Copyright (c) 2020 Volkan Gökbulut, Mustafa Kaplan, Sabite Kaçar, Meral Akdoğan Kayhan, Orhan Coşkun, Ertuğrul Kayaçetin
Affiliations
1
Volkan Gökbulut
Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2
Mustafa Kaplan
Department of Gastroenterology, Sultan Abdulhamit Training and Research Hospital, İstanbul, Turkey
3
Sabite Kaçar
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
4
Meral Akdoğan Kayhan
Department of Gastroenterology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey
5
Orhan Coşkun
Department of Gastroenterology, Türkiye Yüksek İhtisas University Hospital, Ankara, Turkey
6
Ertuğrul Kayaçetin
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Cite this Article
Gökbulut, V., Kaplan, M., Kaçar, S., Akdoğan Kayhan, M., Coşkun, O., & Kayaçetin, E. (2020). Bezoar in upper gastrointestinal endoscopy: A single center experience. Turkish Journal of Gastroenterology, 31(2), 85–90. https://doi.org/10.5152/tjg.2020.18890
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX
Outlines