Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 All the talk about mucoidal plaque reminded me of bezoars. Here' some info on them from the Merck Manual that those who haven't heard of them before might find interesting. BTW, my husband is a general surgeon and does a fair amount of gastrointestinal surgery; in all his years of experience, he has never seen any ropes of mucoidal plaque, but he has seen a number of bezoars. - Janet ---------------------- http://www.merck.com/mrkshared/mmanual/section3/chapter24/24b.jsp Bezoars Tightly packed collections of partially digested or undigested material that remain in the stomach indefinitely. Partially digested agglomerations of hair or vegetable matter are called trichobezoars or phytobezoars, respectively. Food bolus (ie, a loose aggregation of pits, seeds, citrus pith, or milk coagulum [lactobezoar] in toddlers) or concretions of medication (sucralfate, aluminum hydroxide gel), shellac, or even bubble gum may mimic true bezoars and are referred to as pseudobezoars. Etiology Trichobezoars, which may weigh up to 2.7 kg (6 lb), most commonly arise in patients with neuropsychiatric disturbances. Phytobezoars almost always occur in patients after a Billroth I or II partial gastrectomy, especially when accompanied by vagotomy. Hypochlorhydria, diminished antral motility, and incomplete mastication are the main predisposing factors. The vertical banded gastroplasty used in the treatment of morbid obesity has been associated with gastric bezoars. Diabetic gastroparesis is also a characteristic setting for bezoar formation. Finally, consumption of a unique berry, the " unpeeled " persimmon, has caused epidemics of postgastrectomy bezoars, which require surgery in > 90% of cases. Symptoms and Signs Most bezoars cause no symptoms, although postprandial fullness, nausea and vomiting, peptic pain, and GI bleeding may occur. Occasionally, postgastrectomy bezoars may cause small-bowel obstruction, as the sievelike function of the pylorus is absent. Diagnosis and Treatment Usually bezoars are detected on x-ray and may be mistaken for tumors. On endoscopy, bezoars have an unmistakable irregular surface and may range in color from yellow-green to gray-black. An endoscopic biopsy that yields hair or plant material is diagnostic. Bezoars have also been demonstrated by abdominal ultrasound and CT. A food bolus requires no treatment, rocklike concretions and trichobezoars require surgery, and phytobezoars fall between these extremes. A liquid diet, gastric suction and lavage, and endoscopic fragmentation with forceps or jet spray may break up bezoars. A chemical regimen often works better: 1.2 L of dissolved cellulase (0.5 g/dL water) given orally over 24 h for 2 days. Metoclopramide 40 mg/24 h IV or 10 mg q 4 h IM for several days may increase peristalsis by accelerating gastric emptying. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 Good luck getting that hose all the way up to your stomach. The New with improved product search Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 Thanks Janet. This is the proper word. Bezoars, not mucoidal plaque. Plaque is actually a bacteria that mostly inhabits the mouth and is in itself not harmful. Teeth rot from the acid envioronment and the plaque thrives and leaves a calcium waste, [calculus] that gets between the tooth and bone and displaces jawbone over time. It's the plaque poo that does the damage, not the bacteria. Again, the plaque is the bacteria not the residue. Bezoars are what we want to rid ourselves of. rusty - " janet " <raweats <rawfood > Wednesday, October 15, 2003 10:32 AM [Raw Food] Bezoars > All the talk about mucoidal plaque reminded me of bezoars. Here' some > info on them from the Merck Manual that those who haven't heard of them > before might find interesting. > > BTW, my husband is a general surgeon and does a fair amount of > gastrointestinal surgery; in all his years of experience, he has never > seen any ropes of mucoidal plaque, but he has seen a number of bezoars. > > - Janet > ---------------------- > http://www.merck.com/mrkshared/mmanual/section3/chapter24/24b.jsp > > Bezoars > > Tightly packed collections of partially digested or undigested material > that remain in the stomach indefinitely. > > Partially digested agglomerations of hair or vegetable matter are > called trichobezoars or phytobezoars, respectively. Food bolus (ie, a > loose aggregation of pits, seeds, citrus pith, or milk coagulum > [lactobezoar] in toddlers) or concretions of medication (sucralfate, > aluminum hydroxide gel), shellac, or even bubble gum may mimic true > bezoars and are referred to as pseudobezoars. > > Etiology > > Trichobezoars, which may weigh up to 2.7 kg (6 lb), most commonly arise > in patients with neuropsychiatric disturbances. Phytobezoars almost > always occur in patients after a Billroth I or II partial gastrectomy, > especially when accompanied by vagotomy. Hypochlorhydria, diminished > antral motility, and incomplete mastication are the main predisposing > factors. The vertical banded gastroplasty used in the treatment of > morbid obesity has been associated with gastric bezoars. Diabetic > gastroparesis is also a characteristic setting for bezoar formation. > Finally, consumption of a unique berry, the " unpeeled " persimmon, has > caused epidemics of postgastrectomy bezoars, which require surgery in > > 90% of cases. > > Symptoms and Signs > > Most bezoars cause no symptoms, although postprandial fullness, nausea > and vomiting, peptic pain, and GI bleeding may occur. Occasionally, > postgastrectomy bezoars may cause small-bowel obstruction, as the > sievelike function of the pylorus is absent. > > Diagnosis and Treatment > > Usually bezoars are detected on x-ray and may be mistaken for tumors. > On endoscopy, bezoars have an unmistakable irregular surface and may > range in color from yellow-green to gray-black. An endoscopic biopsy > that yields hair or plant material is diagnostic. Bezoars have also > been demonstrated by abdominal ultrasound and CT. > > A food bolus requires no treatment, rocklike concretions and > trichobezoars require surgery, and phytobezoars fall between these > extremes. A liquid diet, gastric suction and lavage, and endoscopic > fragmentation with forceps or jet spray may break up bezoars. A > chemical regimen often works better: 1.2 L of dissolved cellulase (0.5 > g/dL water) given orally over 24 h for 2 days. Metoclopramide 40 mg/24 > h IV or 10 mg q 4 h IM for several days may increase peristalsis by > accelerating gastric emptying. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2003 Report Share Posted October 16, 2003 AHHH there is is. A medical recomendation for a colonic or Colema. Read the treatment for Bezoars. " Jet Spray " or " chemical regime " along with fasting. Read for yourselfs. Try the Arise & Shine and a home colema to get rid of your Bezoars. Bernadette http://www.merck.com/mrkshared/mmanual/section3/chapter24/24b.jsp Bezoars Tightly packed collections of partially digested or undigested material that remain in the stomach indefinitely. Partially digested agglomerations of hair or vegetable matter are called trichobezoars or phytobezoars, respectively. Food bolus (ie, a loose aggregation of pits, seeds, citrus pith, or milk coagulum [lactobezoar] in toddlers) or concretions of medication (sucralfate, aluminum hydroxide gel), shellac, or even bubble gum may mimic true bezoars and are referred to as pseudobezoars. Etiology Trichobezoars, which may weigh up to 2.7 kg (6 lb), most commonly arise in patients with neuropsychiatric disturbances. Phytobezoars almost always occur in patients after a Billroth I or II partial gastrectomy, especially when accompanied by vagotomy. Hypochlorhydria, diminished antral motility, and incomplete mastication are the main predisposing factors. The vertical banded gastroplasty used in the treatment of morbid obesity has been associated with gastric bezoars. Diabetic gastroparesis is also a characteristic setting for bezoar formation. Finally, consumption of a unique berry, the " unpeeled " persimmon, has caused epidemics of postgastrectomy bezoars, which require surgery in > 90% of cases. Symptoms and Signs Most bezoars cause no symptoms, although postprandial fullness, nausea and vomiting, peptic pain, and GI bleeding may occur. Occasionally, postgastrectomy bezoars may cause small-bowel obstruction, as the sievelike function of the pylorus is absent. Diagnosis and Treatment Usually bezoars are detected on x-ray and may be mistaken for tumors. On endoscopy, bezoars have an unmistakable irregular surface and may range in color from yellow-green to gray-black. An endoscopic biopsy that yields hair or plant material is diagnostic. Bezoars have also been demonstrated by abdominal ultrasound and CT. A food bolus requires no treatment, rocklike concretions and trichobezoars require surgery, and phytobezoars fall between these extremes. A liquid diet, gastric suction and lavage, and endoscopic fragmentation with forceps or jet spray may break up bezoars. A chemical regimen often works better: 1.2 L of dissolved cellulase (0.5 g/dL water) given orally over 24 h for 2 days. Metoclopramide 40 mg/24 h IV or 10 mg q 4 h IM for several days may increase peristalsis by accelerating gastric emptying. Quote Link to comment Share on other sites More sharing options...
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