Diferencia entre revisiones de «Bezoar»
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==Background== | ==Background== <!--T:1--> | ||
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[[File:Gray1046.png|thumb|Stomach anatomy]] | [[File:Gray1046.png|thumb|Stomach anatomy]] | ||
*Mass within the gastrointestinal system | *Mass within the gastrointestinal system | ||
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===Risk Factors=== | ===Risk Factors=== <!--T:3--> | ||
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*Gastric dysmotility | *Gastric dysmotility | ||
*Gastric outlet obstruction | *Gastric outlet obstruction | ||
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===Types of Bezoars=== | ===Types of Bezoars=== <!--T:5--> | ||
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*Food boluses | *Food boluses | ||
*Lactobezoar (seen in premature infants receiving formula) | *Lactobezoar (seen in premature infants receiving formula) | ||
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==Clinical Features== | ==Clinical Features== <!--T:7--> | ||
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*Indigestion | *Indigestion | ||
*[[Special:MyLanguage/Abdominal pain|Abdominal pain]] | *[[Special:MyLanguage/Abdominal pain|Abdominal pain]] | ||
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==Differential Diagnosis== | ==Differential Diagnosis== <!--T:9--> | ||
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{{Abdominal Pain DDX Epigastric}} | {{Abdominal Pain DDX Epigastric}} | ||
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*See [[Special:MyLanguage/Nausea and vomiting|Nausea and vomiting]] | *See [[Special:MyLanguage/Nausea and vomiting|Nausea and vomiting]] | ||
==Evaluation== | ==Evaluation== <!--T:11--> | ||
==Management== | ==Management== <!--T:12--> | ||
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*Removal either endoscopically if small but may require surgical removal when large | *Removal either endoscopically if small but may require surgical removal when large | ||
==Disposition== | ==Disposition== <!--T:14--> | ||
==See Also== | ==See Also== <!--T:15--> | ||
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*[[Special:MyLanguage/Ingested foreign body|Ingested foreign body]] | *[[Special:MyLanguage/Ingested foreign body|Ingested foreign body]] | ||
==External Links== | ==External Links== <!--T:17--> | ||
==References== | ==References== <!--T:18--> | ||
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<references/> | <references/> | ||
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[[Category:GI]] | [[Category:GI]] | ||
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Revisión actual - 21:19 6 ene 2026
Background
- Mass within the gastrointestinal system
- Made up of organic or inorganic material
- Commonly from eating hair or indigestible materials
- Risk factors include intellectual disability or emotional disturbance
- More common females aged 10 to 19 years of age
Risk Factors
- Gastric dysmotility
- Gastric outlet obstruction
- Dehydration
- Medications
Types of Bezoars
- Food boluses
- Lactobezoar (seen in premature infants receiving formula)
- Pharmacobezoars (medications, especially overdoses of sustained-release medications
- Phytobezoars (indigestible plant material)
- Trichobezoar (hair)
Foreign Body Types
- Ear foreign body
- Nasal foreign body
- Ocular foreign body
- Aspirated foreign body
- GI
- Soft tissue foreign body
Clinical Features
- Indigestion
- Abdominal pain
- Nausea and vomiting
- Diarrhea
- Gastric ulcers
Differential Diagnosis
Epigastric Pain
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease with or without perforation
- Gastritis
- Pancreatitis
- Gallbladder disease
- Myocardial Ischemia
- Splenic Infarctionenlargement/rupture/aneurysm
- Pericarditis/Myocarditis
- Aortic dissection
- Hepatitis
- Pyelonephritis
- Pneumonia
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Bowel obstruction
- SMA syndrome
- Pulmonary embolism
- Bezoar
- Ingested foreign body
- See Nausea and vomiting
Evaluation
Management
- Removal either endoscopically if small but may require surgical removal when large
Disposition
See Also