- Etiology & Risks
- Indigestible material accumulation due to ↓ motility.
- Risks: Gastric surgery (vagotomy), Diabetic Gastroparesis.
- Phytobezoar: Plant fiber (cellulose); classic association: Persimmons.
- Trichobezoar: Hair; seen in Trichotillomania (psychiatric).
- Clinical
- Sx: Early satiety, vomiting, weight loss, halitosis.
- Rapunzel Syndrome: Trichobezoar with a “tail” extending into small bowel → obstruction.
- Workup & Tx
- Diagnosis: Upper Endoscopy (EGD) is Gold Standard.
- Treatment:
- Phytobezoar: Chemical dissolution (Coca-Cola lavage).
- Trichobezoar/Large: Surgical removal (resistant to dissolution).
- Complications: Obstruction (GOO), Ulceration/Bleeding.