{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:46:49Z","timestamp":1792424809194,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To evaluate the clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction (BI-SBO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty patients with BI-SBO were treated at our hospital from January 2017 to December 2019, and these patients\u2019 clinical and computed tomography (CT) data were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-seven and 13 BI-SBO patients constituted the non-ST group and ST group, respectively. The clinical manifestations of BI-SBO in both groups were abdominal pain, nausea, vomiting, and lack of defecation. Comparing the non-ST vs ST groups, respectively: mean age (years): 63.15\u2009\u00b1\u200916.15 vs 60.38\u2009\u00b1\u200912.47; duration of symptoms (hours): 55.11\u2009\u00b1\u200944.08 vs 59.33\u2009\u00b1\u200972.90; mean bezoar length (cm): 5.31\u2009\u00b1\u20090.74 vs 3.72\u2009\u00b1\u20090.53; mean bezoar width (cm): 3.74\u2009\u00b1\u20090.48 vs 2.9\u2009\u00b1\u20090.64; bezoar CT maximum Hounsfield units (HU): 97.23\u2009\u00b1\u200912.36 vs 21.11\u2009\u00b1\u20097.27; total hospital stay (days): 5.56\u2009\u00b1\u20094.23 vs 7.12\u2009\u00b1\u20096.12 (mean: 8.62\u2009\u00b1\u20092.81); and total hospitalization costs (RMB): 6378.02\u2009\u00b1\u20093015.68 vs 8213.71\u2009\u00b1\u20095564.29. Mean operation time was 85.00\u2009\u00b1\u20098.90 minutes, and mean operation blood loss was 32.31\u2009\u00b1\u200919.64 mL. Bezoars were located 60 to 160\u2009cm from the ileocecal junction. Univariate analysis demonstrated that bezoar length and width and maximum CT value were significant risk factors for surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Large bezoar size and high CT values may be indications for surgery. Surgery is necessary and effective when nonsurgical treatment is ineffective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520979377","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T22:54:28Z","timestamp":1610664868000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction"],"prefix":"10.1177","volume":"49","author":[{"given":"Shuai","family":"Wang","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, Peoples Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, Peoples Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yixiong","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, Peoples Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4090-0551","authenticated-orcid":false,"given":"Yulian","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, Peoples Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"key":"bibr1-0300060520979377","unstructured":"Bordeianou L, Yeh DD. 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