Two Cases of Small Bowel Obstruction due to Gastric Bezoars after Selective Vagotomy and Pyloroplasty

Seiro Shiomi, Koichi Kato, Yozo Watanabe*

Takeyama Kato Hospital
*The Department of Surgery, Izu-Nagaoka Hospital, Juntendo University School of Medicine

Ileus due to intestinal incarceration of a postoperatively formed gastric bezoar is a very rare disease. We encountered two cases of ileus due to gastric bezoars formed after selective vagotomy and plyoroplasty (SV+P). Patient No. 1 was a 57-year-old man, who underwent SV+P for a duodenal ulcer 9 years earlier. In November of 1981, the patient experienced upper abdominal pain, nausea and vomiting and was hospitalized under a diagnosis of ileus. On Day 3 of hospitalization, an emergency operation was performed, and a goose-egg sized mass of foreign matter was found in the jejunum, and excized. Patient No. 2 was a 54-year-old man who underwent SV+P for a duodenal ulcer 16 years earlier. In November of 1989, with the main complaint of abdominal pain, the patient was hospitalized under a diagnosis of ileus. By intestinal radioscopy, the disease was diagnosed as ileus due to intestinal foreign matter, and he was operated on Day 21 of hospitalization. A hen-egg sized mass of foreign matter was found in the ileum, and excised. In both cases, the foreign matter was believed to be a diospyrobezoar on the basis of constituent analysis.

Key words
selective vagotomy+pyloroplasty, Bezoars, small bowel obstruction

Reprint requests
Seiro Shiomi The First Department of Surgery, Juntendo University School of Medicine
2-1-1 Hongo, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
March 13, 1991

To read the PDF file you will need Abobe Reader installed on your computer.