Phytobezoar

Phytobezoar

Gastroparesis

Published in John F. Pohl, Christopher Jolley, Daniel Gelfond, Pediatric Gastroenterology, 2014

This intervention involves adjustment of meal content and frequency. Small and frequent meals primarily consisting of liquids should be encouraged, making sure the diet meets nutritional goals and weight is maintained. Gastric emptying of liquids is often preserved in gastroparesis. Fats and nondigestible fibers should be restricted as they retard emptying and high fiber containing fruits and vegetables may predispose to phytobezoar formation. Vitamin supplements should be added if the patient only tolerates blenderized meals and is not meeting daily requirements. The use of a dietician with knowledge of gastroparesis is essential.

Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature

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Journal Information

Published in Paediatrics and International Child Health, 2019

Islam Nour, Mona Abd Alatef, Ahmed Megahed, Sohier Yahia, Yahya Wahba, Abd Elazeez Shabaan

Bezoars are swallowed, impacted concretions of indigestible foreign material in the gastro-intestinal tract (GIT), most commonly the stomach. Bezoars have been classified into phytobezoars (indigestible fruit or vegetable fibre), trichobezoars (hair), lactobezoars (milk products) and pharmacobezoars (tablets and semi-fluid medications). In children and adolescents the most common type of bezoar is trichobezoar, and in adults phytobezoar.

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Gastroparesis

Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature