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BEZOAR DISEASE IN ACUTE INTESTINAL OBSTRUCTION

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Issue: 
7
Year: 
2017

T. Khorobrykh (3), MD, Professor of the Russian Academy of Sciences; E. Chernysheva (1), Candidate of Biological Sciences; E. Babaeva (2), Candidate of Biological Sciences; N. Vychuzhanina (4), Candidate of Medical Sciences; D. Vychuzhanin (3), Candidate of Medical Sciences; R. Nurutdinov (3), Candidate of Medical Sciences 1-Ivanteevka Central Town Hospital, Moscow Region 2-All-Russian Research Institute of Medicinal and Aromatic Plants, Peoples’ Friendship University of Russia, Moscow 3-I.M. Sechenov First Moscow State Medical University 4-S.P. Botkin City Clinical Hospital, Moscow

The paper shows the similar histological structure of the bezoar obtained during gastroscopy in one patient and the bezoars washed from the feces of other patients. An additional histochemical study with a positive lignin reaction has revealed that the fibrous structures of these masses (phytobezoars) are of plant origin. This suggests that digestion of plant food components is impaired because of the fibrous fixation of polymers that insulate the fibers from exposure to gastric juice enzymes. Gastroscopy with histological examination of mucosal specimens and fragments of undigested food particles is proposed for the early diagnosis and prevention of gastric obstruction.

Keywords: 
gastroenterology
bezoars
plant origin
gastroscopy



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