title: Small-bowel obstruction during enzymatic treatment of gastric bezoar.
abstract: A 66-year-old woman had a sudden onset of small-bowel obstruction during enzymatic treatment for gastric persimmon bezoar. Oral enzymatic therapy is the most effective method of treatment for large phytobezoars when endoscopic extraction is not possible. However, this report suggests that a further endoscopic intervention may be necessary in case the dissolved bezoars cause small-bowel obstruction during this form of therapy.
authors.affiliation: Dept. of Surgery, Cancer Research Institute Hospital, Kanazawa University, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Nomura
authors.forename: T
authors.initials: T
authors.lastname: Kitamura
authors.forename: Y
authors.initials: Y
authors.lastname: Takahashi
authors.forename: M
authors.initials: M
authors.lastname: Mai
mesh_terms: D000368:Aged; D001630:Bezoars / Q000150:complications / Q000188:drug therapy*; D002480:Cellulase / Q000009:adverse effects; D005260:Female; D005638:Fruit; D005765:Gastrointestinal Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D010194:Pancreatin / Q000009:adverse effects; D010434:Pepsin A / Q000009:adverse effects; D013270:Stomach; D014580:Ursodeoxycholic Acid / Q000627:therapeutic use
chemical_list: D005765:Gastrointestinal Agents; D014580:Ursodeoxycholic Acid; D010194:Pancreatin; D002480:Cellulase; D010434:Pepsin A