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FOOD BOLUS INTESTINAL OBSTRUCTION IN A CHINESE POPULATION
Author(s) -
Lee J. F. Y.,
Leow C. K.,
Lai P. B. S.,
Lau W. Y.
Publication year - 1997
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1997.tb07614.x
Subject(s) - medicine , bolus (digestion) , enterotomy , impaction , surgery , phytobezoar , gastrointestinal tract , population , gastroenterology , ileum , bezoar , laparotomy , environmental health
Background: The aim of the present study was to review the authors' experience of the diagnosis and management of food bolus obstruction in a Chinese population. Methods : During the period 1990–96, 31 patients were treated for food bolus obstruction. The records of these patients were retrospectively reviewed. Results: Eighteen patients (58%) had a history of previous gastric surgery and 13 patients (42%) had an intact gastrointestinal tract. The most common site of impaction was the terminal ileum, and a synchronous site of food bolus obstruction was present in 16% of cases. A total of 91 % of the food bolus retrieved was phytobezoar. In 15 cases, the food bolus was successfully milked into the caecum. Enterotomy for removal was necessary in 12 patients, and two underwent small‐bowel resection for necrosis. Conclusion : Food bolus obstruction affects not only those who have had previous gastric surgery, but also a significant proportion of those with an intact gastrointestinal tract.