Abstract

Twelve patients with gastric phytobezoars are reported. Predisposing factors included gastric surgery and diabetic autonomic neuropathy. Endoscopy was valuable in both the diagnosis and therapy of these bezoars. Delayed gastric emptying in the absence of gastric outlet obstruction was documented in 8 patients with a 99m Technetium labelled meal. Metoclopramide was effective in restoring normal gastric emptying in some patients. These findings support the hypothesis that impaired gastric motility is a major factor in gastric phytobezoar formation.

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