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Gastric coconut bezoar following Roux-en-Y gastric bypass

Year: 2026

Type: article

Abstract: Coconut bezoars are rare causes of gastrointestinal obstruction, particularly in patients who have undergone Roux-en-Y gastric bypass (RYGB). Altered gastric motility and anatomical changes after bariatric surgery predispose patients to the accumulation of indigestible fibers. We report the case of a 45-year-old female who presented one year after RYGB with nausea, vomiting, and abdominal pain. Upper endoscopy revealed a coconut bezoar in the gastric pouch, which was successfully treated with endoscopic mechanical fragmentation and extraction. The patient recovered fully without surgical intervention. This case highlights the importance of considering bezoars in post-bariatric patients presenting with obstructive gastrointestinal symptoms and demonstrates the effectiveness of endoscopic management.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjag357

Authors: Silvana Alexandra Valencia Valverde, Fernando Xavier Moyón Constante, Sara Paola Loaiza Romero

Language: English

Topic: Bariatric Surgery and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000

OpenAlex ID: W7160825291

FWCI:

Cites: 4

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