Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars
| Autor: | Anestis Chatzigeorgiadis, Konstantinos A Paschos |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Abdominal discomfort
medicine.medical_specialty Ileus medicine.diagnostic_test business.industry General surgery Perforation (oil well) Gastroenterology Review Article intestinal obstruction medicine.disease Bezoar Dysphagia phytobezoar Endoscopy Therapeutic approach Phytobezoar Medicine endoscopy medicine.symptom business ileus |
| Zdroj: | Annals of Gastroenterology |
| ISSN: | 1792-7463 |
| DOI: | 10.20524/aog.2019.0370 |
| Popis: | Bezoars are intraluminal conglomerates of indigestible foreign materials that accumulate in the gastrointestinal (GI) tract. They consist of vegetable or fruit fibers, hairs or other substances; accordingly, bezoars are classified as phytobezoars, trichobezoars, pharmacobezoars, etc. Although sometimes asymptomatic, bezoars may cause serious symptoms, such as abdominal discomfort or pain, dysphagia, hematemesis, or even life-threatening entities (GI bleeding, obstruction or perforation). Current technological applications have contributed to the diagnostic and therapeutic approach to these masses, mainly through endoscopic techniques able to diagnose, fragment and extract bezoars, as well as laparoscopic and other surgical modalities that may be used to treat serious complications. Although bezoars were described centuries ago and the term was officially introduced in the mid nineties by Quain, they are still a demanding pathological entity. Their pathophysiology, accurate and prompt diagnosis, as well as successful and minimally invasive treatment, remain under investigation and see continuous progress. Current advances in these challenging areas are discussed in this review, which attempts to present an in-depth study of bezoars along with the well-established modalities and techniques. |
| Databáze: | OpenAIRE |
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