{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T18:14:59Z","timestamp":1778523299068,"version":"3.51.4"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Coconut bezoars are rare causes of gastrointestinal obstruction, particularly in patients who have undergone Roux-en-Y gastric bypass (RYGB). Altered gastric motility and anatomical changes after bariatric surgery predispose patients to the accumulation of indigestible fibers. We report the case of a 45-year-old female who presented one year after RYGB with nausea, vomiting, and abdominal pain. Upper endoscopy revealed a coconut bezoar in the gastric pouch, which was successfully treated with endoscopic mechanical fragmentation and extraction. The patient recovered fully without surgical intervention. This case highlights the importance of considering bezoars in post-bariatric patients presenting with obstructive gastrointestinal symptoms and demonstrates the effectiveness of endoscopic management.<\/jats:p>","DOI":"10.1093\/jscr\/rjag357","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:46:06Z","timestamp":1777031166000},"source":"Crossref","is-referenced-by-count":0,"title":["Gastric coconut bezoar following Roux-en-Y gastric bypass"],"prefix":"10.1093","volume":"2026","author":[{"given":"Silvana Alexandra","family":"Valencia Valverde","sequence":"first","affiliation":[{"name":"Department of Bariatric Surgery, General Hospital San Francisco , Quito 170120 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Xavier","family":"Moy\u00f3n Constante","sequence":"additional","affiliation":[{"name":"Department of Bariatric Surgery, General Hospital San Francisco , Quito 170120 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara Paola","family":"Loaiza Romero","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Falcon\u00ed Clinical Center , Quito 170120 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"2026051113460628900_ref1","article-title":"A rare case report of late-onset phytobezoar formation following laparoscopic sleeve gastrectomy","volume":"254","author":"Zhang","year":"2021","journal-title":"BMC Surg"},{"key":"2026051113460628900_ref2","doi-asserted-by":"publisher","first-page":"1747","DOI":"10.1016\/j.soard.2016.09.003","article-title":"Gastrointestinal phytobezoar following bariatric surgery: a review of the literature","volume":"12","author":"Norsa","year":"2016","journal-title":"Surg Obes Relat Dis"},{"key":"2026051113460628900_ref3","doi-asserted-by":"publisher","first-page":"336","DOI":"10.4253\/wjge.v7.i4.336","article-title":"Review of the diagnosis and management of gastrointestinal bezoars","volume":"7","author":"Iwamuro","year":"2015","journal-title":"World J Gastrointestinal Endosc"},{"key":"2026051113460628900_ref4","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1055\/s-2007-1001285","article-title":"Endoscopic management of huge bezoars","volume":"30","author":"Wang","year":"1998","journal-title":"Endoscopy"},{"key":"2026051113460628900_ref5","first-page":"217","article-title":"Small bowel obstructions secondary to bezoars","volume":"13","author":"Ulusan","year":"2007","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2026051113460628900_ref6","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1007\/s00383-010-2570-0","article-title":"Management of trichobezoar: case report and literature review","volume":"26","author":"Gorter","year":"2010","journal-title":"Pediatric Surg Int"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag357\/68268003\/rjag357.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag357\/68268003\/rjag357.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T17:46:12Z","timestamp":1778521572000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag357\/8675893"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,1]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag357","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,5,1]]},"article-number":"rjag357"}}