title: Phytobezoar by aloe vera as long term complication after oesophagectomy resolved using cellulase.
abstract: Bezoars are uncommon diseases caused by the presence of indigestible mass of strange material in the gastrointestinal tract. Gold-standard treatment remains unclear and there are not clinical guidelines to follow. We present a very rare case of 53-year-old man suffering phytobezoar in a gastroplasty after oesophagectomy due to aloe vera ingestion as natural medicine. Finally it was solved with cellulase. Therefore, this is a scarcely complication after esophagectomy. Cellulase is a very good option to treat phytobezoar avoiding reintervention in this kind of patient.
authors.affiliation: General Thoracic Surgery Department, Virgen Macarena University Hospital, Sevilla, Spain.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Pinos
authors.affiliation: General Thoracic Surgery Department, Virgen Macarena University Hospital, Sevilla, Spain.
authors.forename: Sergio
authors.initials: S
authors.lastname: Moreno-Merino
authors.affiliation: General Thoracic Surgery Department, Virgen Macarena University Hospital, Sevilla, Spain. Electronic address: mcongregado@us.es.
authors.forename: Miguel
authors.initials: M
authors.lastname: Congregado
keywords: Cellulase; Esophagectomy; Gastroplasty; Phytobezoar