title: [Acute intestinal occlusion caused by phytobezoar in Israel. Role of oranges and persimmons].
abstract: Forty-one patients were operated upon for acute intestinal obstruction secondary to the presence of phytobezoars, 34 of these patients (83%) having a history of previous gastric surgery for ulcer. The etiologic factor in 44% of cases was oranges and in 56% persimmons (Kakis). Treatment was by enterotomy in 27 patients (65,85%) and by "milking" in 14 (34,15%). Postoperative mortality was 2,44% (1 case). Recurrence was noted in three cases (7,3%) including one with an ileocutaneous fistula, treatment being by enterotomy in 2 cases and "milking" in the third patient. First intention intestinal resection was never required. Five patients required several admissions for subacute obstruction treated conservatively. These findings suggest that gastric surgery predisposes to intestinal obstruction by phytobezoar. Careful exploration of the digestive tube and particularly the stomach should avoid postoperative relapse, while prevention depends on a dietary regimen avoiding excessive intake of foods rich in cellulose, particularly oranges and persimmon fruit.
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002957:Citrus / Q000009:adverse effects; D005260:Female; D005638:Fruit / Q000009:adverse effects*; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D007557:Israel; D008297:Male; D008875:Middle Aged; D014628:Vagotomy / Q000009:adverse effects
vernacular_title: L'occlusion intestinale aiguë par phytobézoards en Israël. Rôle de l'orange et du persimmon.