A Case of Intestinal Obstruction Caused by Bezoar following a Pylorus-preserving Gastrectomy

Abstract

A 43-year-old women undergoing pylorus-preserving gastrectomy (PPG) for an early gastric cancer was admitted to our institute 20 months later for abdominal pain and vomiting. We operated for an intestinal obstruction encountering a bezoar 4.2×2.5×2.3cm in size, which we removed through an ileotomy. The bezoar consisted of 98% tannin acid, apparently due to persimmons. This is, we believe, the first report of bezoar occoure following PPG.