Abstract
Phytobezoars are the most common type of gastric bezoars, but they are a rare cause of small bowel obstruction in Western countries and in Korea. 1 DeBakey M Ochsner AO Bezoars and concretions. Surgery. 1938; 4: 934-963 Google Scholar , 2 Lee JH Kang YW Hur JW Ahn SH Park SK Park TW et al. Foreign bodies in upper gastrointestinal tract. Kor J Gastroenterol. 1993; 25: 823-827 Google Scholar They are composed of indigestible cellulose, tannin, and lignin derived from ingested vegetables and fruits, especially persimmons. 3 Hayes PG Rotstein OD Gastrointestinal phytobezoars: presentation and management. Can J Surg. 1986; 29: 419-420 PubMed Google Scholar In the stomach, tannin contained within these fruits becomes a sticky mass in the presence of gastric acid. The formation of bezoars is commonly associated with impaired gastric motility as a result of Billroth I or II operations or diabetic gastroparesis, and/or poor mastication because of edentia. 4 Minami A Gastric bezoars after gastrectomy. Am J Surg. 1973; 126: 421-424 Abstract Full Text PDF PubMed Scopus (12) Google Scholar , 5 Mir AM Mir MA Phytobezoar after vagotomy with drainage or resection. Br J Surg. 1973; 60: 846-849 Crossref PubMed Scopus (31) Google Scholar , 6 Tebar JC Campos RR Paricio PP Mompean JAL Escamilla C Ruiz RL et al. Gastric surgery and bezoars. Dig Dis Sci. 1992; 37: 1694-1696 Crossref PubMed Scopus (53) Google Scholar
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