[Medical treatment of the gastric phytobezoar. Report of a case].

A 57 year old white man, was seen on the 16th, May, 1978, with the chief complaint of severe post-prandial epigastric cramping followed by nausea and vomiting and Dumping. The patient underwent troncular vagotomy and gastrojejunostomy for symptomatic and intractible hiati hernia in May 1960. Two months after discharged, he had recurrent apisodic diarrhea, nausea and vomiting. Physical examination revealed a flat abdomen, incisional hernia, with epigastric tenderness. No mass was palpable. Upper gastrointestinal reontgenographic examination revealed a large mass which was thought to represent a phytobezoar practically filling distal portion of the stomach. Deambulatory treatment was instituted with Tripsin and quimiotripsin; 200000 U. every 6 hrs. and soft diet. A review of his eating habits revealed that he had eaten oranges two weeks prior to the onset of symptoms. Three weeks later, the another upper gastrointestinal examination was normal, without phytobezoar. Recovery was uneventful.