Abstract:
The aim: Is to determine the tactics and methods of treatment of bezoars of the gastrointestinal tract.
Materials and methods: From 2001 to 2019, 17 patients were diagnosed with “bezoar”.
Results: Due to the “weariness” of the clinic, the diagnosis was made in the first 3 days only for 3 (17,6%) patients. On the basis of the obtained average pH values for 4 (23,5%)
patients established moderate hypoacid, for 4 (23,5%) - pronounced hypoacid, for 6 (35,3%) - anacid. For 5 (29,4%) patients, the bezoars were withdrawn on the first attempt,
while the other 5 (29,4%) were “lumped”. In the course of fibrogastroscopic examination, all patients were diagnosed with impaired motor-evacuation function of the stomach:
gastroesophageal and duodenogastric refluxes, presence of passive discharge of the contents of the stomach into the esophagus.
Conclusions: Therefore, the preconditions for the development of bezoars may be: hypo- and anacid, impaired motor-evacuation function of the stomach, chronic gastric ulcer,
cognitive impairment. Endoscopic methodshould be preferred in the treatment, on condition of its failure - laparoscopic gastrotomy with bezoar extraction.
