| Abstract: | Abstract: We report a case of two large stomach phytobezoars whose removal from the stomach was achieved by means of endoscopic fragmentation. The patient was a 42-year-old who had a history of vagotomy with pyloroplasty and practiced excessive consumption of fruits and vegetables; a follow-up endoscopy revealed two large phytobezoars attached to the mucosa of the fundus and corpus. In two sessions, the phytobezoars were fragmented with large-diameter polypectomes and a third endoscopy revealed no sign of the remaining parts, which had obviously passed through the pylorus and had been excreted with the feces. The successful endoscopic management of the phytobezoars in this case suggest that this procedure may be the treatment of choice in such cases, especially since surgery and its potential complications are avoided. (Dig Endosc 1999; 11: 165–168) |
