Food bolus intestinal obstruction in a Chinese population

The Australian and New Zealand Journal of Surgery
J F LeeW Y Lau

Abstract

The aim of the present study was to review the authors' experience of the diagnosis and management of food bolus obstruction in a Chinese population. During the period 1990-96, 31 patients were treated for food bolus obstruction. The records of these patients were retrospectively reviewed. Eighteen patients (58%) had a history of previous gastric surgery and 13 patients (42%) had an intact gastrointestinal tract. The most common site of impaction was the terminal ileum, and a synchronous site of food bolus obstruction was present in 16% of cases. A total of 91% of the food bolus retrieved was phytobezoar. In 15 cases, the food bolus was successfully milked into the caecum. Enterotomy for removal was necessary in 12 patients, and two underwent small-bowel resection for necrosis. Food bolus obstruction affects not only those who have had previous gastric surgery, but also a significant proportion of those with an intact gastrointestinal tract.

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Citations

Sep 1, 2005·Emergency Radiology·D BandyopadhyayE P Dewar
Nov 27, 2004·Asian Journal of Surgery·Volker SchoefflVirak Vidamaly
Jan 12, 2010·Journal of Medical Case Reports·Rajan Fuad EzzatShyaw Mahmood Ahmed
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Mar 9, 2006·The International Journal of Eating Disorders·Hiroshi IkegayaKen-ichi Yoshida
Mar 27, 2019·Emergency Medicine International·Fatih AltintoprakTaner Kivilcim

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