title: [Gastric phytobezoar].
abstract: A case of a large gastric phytobezoar (5 x 8 cm) is presented. It was diagnosed at operation in the stomach of a post vagotomy-pyloroplasty patient, and all attempts at removal (crushing, lavage and diathermy) failed. Complete removal of the phytobezoar was accomplished in 3 endoscopy sessions using a very large snare introduced through an overtube. The patient was told to refrain from cellulose- and fiber-rich food (such as persimmons and oranges) and was given prokinetic drugs, including cisapride, domperidone and metoclopramide.
authors.affiliation: Gastroenterology Dept., Hillel Yaffe Medical Center, Hadera.
authors.forename: A
authors.initials: A
authors.lastname: Sternberg
authors.forename: D
authors.initials: D
authors.lastname: Coscas
authors.forename: Z
authors.initials: Z
authors.lastname: Fireman
mesh_terms: D000328:Adult; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D001630:Bezoars / Q000601:surgery*; D002482:Cellulose; D020117:Cisapride; D004043:Dietary Fiber; D004294:Domperidone / Q000627:therapeutic use; D004724:Endoscopy; D005638:Fruit; D005658:Fungi; D006801:Humans; D008297:Male; D008787:Metoclopramide / Q000627:therapeutic use; D010880:Piperidines / Q000627:therapeutic use; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery*
chemical_list: D000897:Anti-Ulcer Agents; D004043:Dietary Fiber; D010880:Piperidines; D004294:Domperidone; D002482:Cellulose; D008787:Metoclopramide; D020117:Cisapride