Efferent limb of gastrojejunostomy obstruction by a whole okra phytobezoar:Case report and brief review

作     者：Thant Zin Myat Maw Dinker Ramananda Pai Rosaini Binti Paijan Myo Kyi 

作者机构：Department of SurgeryMelaka Manipal Medical College75150 MelakaMalaysia Department of SurgeryHospital Pakar Sultanah FatimahMuar JohorMalaysia 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2012年第4卷第5期

页      面：197-200页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Efferent limb obstruction Gastrojejunostomy Okra phytobezoar 

摘      要：A phytobezoar is one of the intraluminal causes of gastric outlet obstruction,especially in patients with previous gastric surgery and/or gastric motility *** the proton pump inhibitor era,vagotomy,pyloroplasty,gastrectomy and gastrojejunostomy were commonly performed procedures in peptic ulcer *** of the sequelae of gastrojejunostomy is phytobezoar ***,a bezoar causing gastric outlet obstruction is rare even with giant gastric *** report a rare case of gastric outlet obstruction due to a phytobezoar obstructing the efferent limb of the gastrojejunostomy *** phytobezoar which consisted of a whole piece of okra(lady finger vegetable) was successfully removed by endoscopic *** the best of our knowledge,this is the first case of okra bezoar-related gastrojejunostomy efferent limb obstruction reported in the literature.