A Case of Intestinal Obstruction Caused by Bezoar following a Pylorus-preserving Gastrectomy

Tsunehiko Morita, Yoshinobu Hata, Tadashi Matsuhisa, Kunihiko Manabe, Shinichi Matsuoka, Kazuya Annen and Fumio Sano

Department of Surgery, Sapporo Social Insurance General Hospital

A 43-year-old women undergoing pylorus-preserving gastrectomy (PPG) for an early gastric cancer was admitted to our institute 20 months later for abdominal pain and vomiting. We operated for an intestinal obstruction encountering a bezoar 4.2×2.5×2.3 cm in size, which we removed through an ileotomy. The bezoar consisted of 98% tannin acid, apparently due to persimmons. This is, we believe, the first report of bezoar occoure following PPG.

Key words
persimmon bezoar, pylorus preserving gastrectomy, intestinal obstruction

Reprint requests
Yoshinobu Hata Department of Surgery, Sapporo Social Insurance General Hospital 2-6 Atsubetsu-chuo, Atsubetsu-ku, Sapporo, 004-8618 JAPAN

Accepted
July 25, 2000

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