• Two patients had small-bowel obstruction due to phytobezoars. Both patients were hypothyroid. One patient had undergone a previous pyloroplasty for pyloric stenosis and the other a truncal vagotomy and a pyloroplasty for a duodenal ulcer. Similarities and differences between the two cases and the possible predisposing factors in the formation of the phytobezoars are discussed. The recognition of high-risk patients, and their education to prevent phytobezoars are emphasized.
(Arch Surg 113:1001-1003, 1978)
Mangold D, Woolam GL, Garcia-Rinaldi R. Intestinal Obstruction Due to PhytobezoarsObservations in Two Patients With Hypothyroidism and Previous Gastric Surgery. Arch Surg. 1978;113(8):1001-1003. doi:10.1001/archsurg.1978.01370200095019