L'OCCLUSION INTESTINALE AIGUE PAR PHYTOBEZOARDS EN ISRAEL. ROLE DE L'ORANGE ET DU PERSIMMON

Translated title of the contribution: Acute intestinal obstruction due to phytobezoar in Israel. Role of oranges and persimmon fruit

F. Serour, G. Dona, M. Kaufman

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

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 contributionAcute intestinal obstruction due to phytobezoar in Israel. Role of oranges and persimmon fruit
Original languageFrench
Pages (from-to)299-304
Number of pages6
JournalJournal de Chirurgie
Volume122
Issue number5
StatePublished - 1985
Externally publishedYes

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