Chittmittrapap S, Tanphiphat C
Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 1990 Apr;73(4):212-6.
Seven adults and four children with phytobezoar obstruction to the small bowel were reported. All adult patients had undergone previous laparotomies, six of which were gastric operations. Phytobezoar obstruction was not suspected in any of the adult patients and surgery was necessary to relieve the obstruction. Abnormal gastric function may predispose phytobezoars, and surgeons should be aware of the possibility in patients with previous gastric surgery. The children had been previously healthy, but all had a history of eating an excessive amount of fruit or seeds before the onset of symptoms. The obstruction was found to be incomplete and could be relieved by conservative treatment, including the use of colonic washouts. In children with intestinal obstruction a good dietary history should lead to the correct diagnosis so that surgery may be avoided.
报告了7例成人和4例儿童因植物性粪石导致小肠梗阻的病例。所有成年患者均曾接受过剖腹手术，其中6例为胃部手术。所有成年患者术前均未怀疑有植物性粪石梗阻，需手术解除梗阻。胃功能异常可能易患植物性粪石，外科医生应意识到既往接受过胃部手术的患者存在这种可能性。这些儿童既往健康，但均有在症状出现前过量食用水果或种子的病史。发现梗阻不完全，可通过包括结肠灌洗在内的保守治疗缓解。对于患有肠梗阻的儿童，详细的饮食史应有助于做出正确诊断，从而避免手术。
