Author(s): Ebener B, Herzog P, Klose K, Grnniger J, Schmidt HD,
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Abstract A 59 year old female with multiple gastric surgical procedures (Billroth I and Billroth II) for recurring ulcer disease developed a gastric phytobezoar following an additional truncular vagotomy within 2 months. Already 1 month after complete endoscopic removal the phytobezoar recurred in spite of dietary restrictions. The phytobezoar was successfully dissolved by oral Cellulase-therapy. The truncular vagotomy and its influence on gastric motility has to be considered as the cause of the repeated bezoar formation.
This article was published in Z Gastroenterol
and referenced in Journal of Gastrointestinal & Digestive System