Özet:

Purpose: This study aims to assess the symptoms treated due to gastrointestinal obstruction associated with bezora in terms of the clinical-radiological-endoscopic characteristics and methods of treatment. Method: Between January 2014 and December 2019, 33 patients from patients with acute mechanical intestinal obstruction (AMIO) in our hospital were included in the study. Facts, the presence of comorbidity, tomography and endoscopic characteristics and methods of treatment were studied. Results: 82% of patients (n=27) had an intraabdominal surgical history; 60% had an upper gastrointestinal surgical history (n=20). 27% of DM patients (n=9) were accompanied by 18% of psychiatric disorders (n=6). With computer tomography, stomach dilatation was observed in 9 patients, jejunal in 9 patients, jejunoileal in 9 patients and dilatation in all intestinal segments in 6 patients. Twelve patients were endoscoped; nine had peptic ulcers, three were normal. Seven cases were treated with laparotomy, nine cases with laparoscopic enterotomy and three cases with endoscopic procedures. Four cases were treated with Coca-Cola injection from nazogastric catheter and were successful. The result: Bezoar-related AMIO is difficult to diagnose with clinical findings. Radiological and endoscopic methods are important in diagnosis. Although endoscopic methods are also successfully used for therapeutic purposes, surgical methods are used in distal areas and in complicated cases.

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