Resolving Duodenal Gastric Outlet Obstruction: A Case Report of Successful Management of Phytobezoar Impaction in a Duodenal Diverticulum
Year: 2024
Type: article
Study design: Case Report
Abstract: Gastric outlet obstruction (GOO) is a clinical syndrome characterized by hindrance in the passage of gastric contents into the duodenum, with various etiologies including bezoars. Phytobezoars, composed of undigested food fibers, represent a rare but significant cause of GOO. Herein, we present a case of a 34-year-old female with recurrent vomiting and early satiety, diagnosed with GOO caused by an impacted phytobezoar in the duodenum. Despite initial unsuccessful attempts at endoscopic removal, alternative techniques led to successful extraction. Postprocedure evaluation revealed a large duodenal diverticulum. Our experience underscores the complexity of managing duodenal phytobezoars and highlights the efficacy of combined therapeutic approaches. Heightened awareness among gastroenterologists regarding this condition is essential to optimize patient outcomes. Recurrence prevention strategies include dietary modifications and periodic endoscopic interventions for challenging cases.
Source: Journal of Digestive Endoscopy
Authors: Ashok Jhajharia, Narendra Kumar Bishnoi, Prachis Ashdhir, Sandeep Nijhawan
Institution: SMS Medical College
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404904643