ABSTRACT
Laparoscopic adjustable gastric banding (LAGB) is used for the management of morbid obesity. Phytobezoars are rarely reported as a complication of this operation and are usually extracted by endoscopic means. We report a 48 year-old male subjected to a gastric banding, that consulted for progressive dysphagia, six months after the operation. A barium meal x-ray examination demonstrated the presence of a bezoar that was dissolved in one week using papain. A control barium meal confirmed the disappearance of the bezoar.
Subject(s)
Humans , Male , Middle Aged , Bezoars/etiology , Gastroplasty/adverse effects , Laparoscopy/adverse effects , Obesity, Morbid/surgery , Bezoars/drug therapy , Papain/administration & dosageABSTRACT
In the last two decades, bariatric surgery has become a popular mean for treating morbid obesity. Although the newer procedures are claimed to have less complications than the older ones, the world is still at a learning curve. Numerous complications of this surgery are known and require recognition to be appropriately treated. Phytobezoar is one of the rare late complications following Bariatric surgery and various factors can contribute to its development including hypochlorhydria, diminished antral motility, and incomplete mastication. The case being presented is a rare case of gastric outlet obstruction due to phytobezoar almost two years following vertical banded gastroplasty. The patient was successfully treated with Sodium Docusate, which is a faecal softener and weak stimulant laxative. To our knowledge, this is the first case report presenting such a complication following vertical banded gastroplasty. Phytobezoar should be considered in the differential diagnosis of epigastric symptoms in patients with a history of gastric surgery. Sodium docusate was an effective medical therapy in this patient
Subject(s)
Humans , Female , Stapes Surgery , Gastric Outlet Obstruction/etiology , Gastric Outlet Obstruction/complications , Gastric Outlet Obstruction/therapy , Bezoars/complications , Bezoars/diagnosis , Bezoars/drug therapy , Bezoars/surgeryABSTRACT
Se presenta los resultados de un estudio comparativo entre el oxante/pirantel y el albendazol, en un grupo de 60 niños parasitados por alguno de los siguientes helmintos transmitidos por el suelo: áscaris, tricocéfalos y uncinarias. Los medicamentos fueron administrados en dosis única: el oxantel/pirantel a razón de 20 miligramos/Kilogramo de peso, y el albendazol en dosis total de 400 miligramos. Se observaron excelentes resultados con ambos medicamentos en el tratamiento de las ascariasis. En la curación parasitológica de la uncinariasis el oxantel/pirantel exhibió superioridad (85.7% de los casos tratados) sobre el albendazol (66.7% de los casos tratados); y en lo que respecta a la reducción en el número de huevecillos, ambas drogas demostraron ser de utilidad. En las tricocefalosis de grados I, II y III la curación obtenida con oxante/pirantel fue superior. En relación a la disminución de huevecillos en las heces, existió una ligera superioridad por parte del oxante/pirantel. En el grado IV de tricocefalosis, el efecto terapéutico de ambos medicamentos mostró muy poca utilidad cuando son suministrados en dosis única. Se propone una escala de los grados de parasitosis para ser utilizada en la evaluación de drogas antihelmínticas