Abstract:
Objective: To improve the results of surgical treatment of patients with acute intestinal obstruction caused by
phytobezoars. Material and Methods: A retrospective analysis of the results conducted by the treatment of 60 patients with
acute intestinal obstruction, caused by phytobezoars who were hospitalized in the 2 - clinic of the Tashkent Medical Academy
from 2005 to 2015. It should be noted that phytobezoars occurred mainly in patients who previously underwent surgery for
complications of gastric and duodenal ulcers. Results: 12 patients (20%), intestinal obstruction were resolved conservatively.
The rest underwent operations. Patients who have surgery performed on the small intestine, for the purpose of decompression
were set nasoenteral tube, which was removed on 2-3 days after operation. Postoperatively developed the following
complications: postoperative wound seroma (2 cases), festering wound (1 case), postoperative pneumonia (2 patients), which
were cropped with conservative therapy. One patient on the 2nd postoperative day developed intestinal obstruction, which
resolved conservatively. Length of hospital stay were from 6 to 9 days. No deaths were observed. Conclusions: Acute
intestinal obstruction caused by phytobezoars meets several times more common in people undergoing surgery for peptic
ulcer disease and its complications. It should be noted that most of these patients had no capability information about
phytobezoars after such surgical interventions. The diagnostic algorithm is necessary to include endoscopy for diagnosis of
gastric bezoar and assess the possibility of its endoscopic removal.
