Forty-one patients were operated upon for acute intestinal obstruction secondary to the presence of phytobezoards, 34 of these patients having a history of previous gastric surgery for ulcer. The etiologic factor in 44% of cases was oranges and in 56% persimmons (Kakis). Treatment was by enterotomy in 27 patients and by 'milking' in 14. Postoperative mortality was 2,44% (1 case). Recurrence was noted in three cases (7,3%) including one with an ileocutaneous fistula, treatment being by enterotomy in 2 cases and 'milking' in the third patient. First intention intestinal resection was never required. Five patients required several admissions for subacute obstruction treated conservatively. These findings suggest that gastric surgery predisposes to intestinal obstruction by phytobezoar. Careful exploration of the digestive tract and particularly the stomach should avoid postoperative relapse, while prevention depends on a dietary regimen avoiding excessive intake of foods rich in cellulose, particularly oranges and persimmon fruit.
|Translated title of the contribution||Acute intestinal obstruction due to phytobezoar in Israel. Role of oranges and persimmon fruit|
|Number of pages||6|
|Journal||Journal de Chirurgie|
|State||Published - 1985|