Abstract
Patients with inflammatory bowel disease (IBD) often develop structural complications, such as strictures, and, in most cases, would eventually require surgical intervention. IBD-associated strictures and IBD surgery–associated altered bowel anatomy, as well as complications, make patients prone to the development of the formation or retention of bezoars and foreign bodies. There are various forms of bezoars and foreign bodies, ranging from dislodged or misfired staples to trapped capsule endoscope. Patients with bezoars or foreign bodies in the gastrointestinal tract can have various clinical presentations, including bleeding, pain, to partial small bowel obstruction. Under most circumstances, bezoars or foreign bodies should and can be safely removed endoscopically. Few patients require surgical intervention. 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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