Abstract
Bezoars and foreign bodies are not rare in patients with inflammatory bowel disease (IBD). Inflammatory and fibrotic strictures are obvious risk factors. In addition, IBD-associated surgery create man-made intrinsic “gate,” such as the nipple valve in the Kock pouch, inlet and outlet of stricturoplasty, and anastomosis strictures, along with extrinsic adhesions, which make bezoars or foreign bodies be easily trapped. Trapped capsule endoscope is particularly common is Crohn's disease. Endoscopic retrieval with various accessary devices has been proven to be effective. Large calcified bezoars may be managed with endoscopic laser or endoscopic ultrasound lithotripsy. A multidisciplinary approach with endoscopists, colorectal surgeons, and urologists may be needed in complex cases. Strictures near the bezoars or foreign bodies can be treated with endoscopic balloon dilation or endoscopic stricturotomy.
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