{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:56:00Z","timestamp":1740135360209,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Phytobezoar formation is a complication of bariatric surgery and mostly occurs after laparoscopic Roux-en-Y gastric bypass (LRYGB) operations. Here, we present an extremely rare case of late phytobezoar formation following laparoscopic sleeve gastrectomy (LSG).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>\n  A 52-year-old woman with a body mass index (BMI) of 40.7\u00a0kg\/m<jats:sup>2<\/jats:sup> underwent LSG. Following persistent symptoms of nausea, vomiting, early satiety, and tremendous weight loss, endoscopy was performed, and gastric phytobezoar was detected at one-year post-operation. After endoscopic fragmentation, phytobezoar was removed by snare, and the patient later underwent redo bariatric surgery (conversion of LSG to LRYGB).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>With an increase in the number of LSG procedures performed globally, and the late-onset nature of phytobezoar formation, more cases of this complication are expected to be detected in future. Long-term postoperative follow-up alongside applying surgical methods to avoid gastric stenosis are needed to reduce the chance of phytobezoar formation in patients undergoing LSG.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-021-01254-8","type":"journal-article","created":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T13:02:53Z","timestamp":1621688573000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A rare case report of late-onset phytobezoar formation following laparoscopic sleeve gastrectomy: delayed redo bariatric surgery"],"prefix":"10.1186","volume":"21","author":[{"given":"Shayan","family":"Aryannezhad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasaman","family":"Sadeghian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parvin","family":"Shapoori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majid","family":"Valizadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7718-1952","authenticated-orcid":false,"given":"Maryam","family":"Barzin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,22]]},"reference":[{"issue":"5","key":"1254_CR1","first-page":"476","volume":"83","author":"CH Andrus","year":"1988","unstructured":"Andrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol. 1988;83(5):476\u20138.","journal-title":"Am J Gastroenterol"},{"issue":"8","key":"1254_CR2","doi-asserted-by":"publisher","first-page":"721","DOI":"10.12998\/wjcc.v3.i8.721","volume":"3","author":"E Dikicier","year":"2015","unstructured":"Dikicier E, Altintoprak F, Ozkan OV, Yagmurkaya O, Uzunoglu MY. Intestinal obstruction due to phytobezoars: An update. World J Clin Cases. 2015;3(8):721\u20136.","journal-title":"World J Clin Cases"},{"issue":"4","key":"1254_CR3","doi-asserted-by":"publisher","first-page":"336","DOI":"10.4253\/wjge.v7.i4.336","volume":"7","author":"M Iwamuro","year":"2015","unstructured":"Iwamuro M, Okada H, Matsueda K, Inaba T, Kusumoto C, Imagawa A, et al. Review of the diagnosis and management of gastrointestinal bezoars. World J Gastrointest Endosc. 2015;7(4):336\u201345.","journal-title":"World J Gastrointest Endosc"},{"issue":"7","key":"1254_CR4","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1007\/s11695-015-1974-2","volume":"26","author":"A Abraham","year":"2016","unstructured":"Abraham A, Ikramuddin S, Jahansouz C, Arafat F, Hevelone N, Leslie D. Trends in bariatric surgery: procedure selection, revisional surgeries, and readmissions. Obes Surg. 2016;26(7):1371\u20137.","journal-title":"Obes Surg"},{"issue":"1","key":"1254_CR5","doi-asserted-by":"publisher","first-page":"e000219","DOI":"10.1136\/tsaco-2018-000219","volume":"3","author":"R Lim","year":"2018","unstructured":"Lim R, Beekley A, Johnson DC, Davis KA. Early and late complications of bariatric operation. Trauma Surg Acute Care Open. 2018;3(1):e000219.","journal-title":"Trauma Surg Acute Care Open"},{"issue":"9","key":"1254_CR6","doi-asserted-by":"publisher","first-page":"1747","DOI":"10.1016\/j.soard.2016.09.003","volume":"12","author":"T Ben-Porat","year":"2016","unstructured":"Ben-Porat T, Sherf Dagan S, Goldenshluger A, Yuval JB, Elazary R. Gastrointestinal phytobezoar following bariatric surgery: systematic review. Surg Obes Relat Dis. 2016;12(9):1747\u201354.","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"1254_CR7","doi-asserted-by":"publisher","first-page":"e8","DOI":"10.2196\/resprot.5214","volume":"5","author":"M Barzin","year":"2016","unstructured":"Barzin M, Hosseinpanah F, Motamedi MA, Shapoori P, Arian P, Daneshpour MA, et al. Bariatric surgery for morbid obesity: Tehran Obesity Treatment Study (TOTS) rationale and study design. JMIR Res Protoc. 2016;5(1):e8.","journal-title":"JMIR Res Protoc"},{"issue":"4","key":"1254_CR8","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1007\/s11605-020-04530-9","volume":"25","author":"F Hosseini-Esfahani","year":"2021","unstructured":"Hosseini-Esfahani F, Khalaj A, Valizadeh M, Azizi F, Barzin M, Mirmiran P. Nutrient Intake and deficiency of patients 1 year after bariatric surgery: Tehran Obesity Treatment Study (TOTS). J Gastrointest Surg. 2021;25(4):911\u20138.","journal-title":"J Gastrointest Surg"},{"key":"1254_CR9","doi-asserted-by":"crossref","unstructured":"Ben-Porat T, Elazary R, Goldenshluger A, Sherf-Dagan S, Grinbaum R, Beglaibter N. Phytobezoar: a rare late complication following laparoscopic sleeve gastrectomy surgery. Int Surg J. 2017;4(5):1803\u20135.","DOI":"10.18203\/2349-2902.isj20171644"},{"issue":"1","key":"1254_CR10","doi-asserted-by":"publisher","first-page":"117","DOI":"10.7707\/hmj.v7i1.305","volume":"7","author":"O Arsalan","year":"2014","unstructured":"Arsalan O, Hussein A, El Malik S. A case of antroduodenal phytobezoar following laparoscopic sleeve gastrectomy. Hamdan Med J. 2014;7(1):117\u201320.","journal-title":"Hamdan Med J"},{"key":"1254_CR11","doi-asserted-by":"publisher","first-page":"e923543-e","DOI":"10.12659\/AJCR.923543","volume":"21","author":"G Martines","year":"2020","unstructured":"Martines G, Musa N, Aquilino F, Picciariello A, Altomare DF. Sleeve gastrectomy combined with Nissen fundoplication as a single surgical procedure, is it really safe? A case report. Am J Case Rep. 2020;21:e923543-e.","journal-title":"Am J Case Rep"},{"issue":"9","key":"1254_CR12","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1007\/BF02233096","volume":"13","author":"GD Cain","year":"1968","unstructured":"Cain GD, Moore P, Patterson M. Bezoars\u2014a complication of the postgastrectomy state. Am J Digest Dis. 1968;13(9):801\u20139.","journal-title":"Am J Digest Dis"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01254-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-021-01254-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01254-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T13:07:05Z","timestamp":1621688825000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01254-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,22]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1254"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01254-8","relation":{},"ISSN":["1471-2482"],"issn-type":[{"type":"electronic","value":"1471-2482"}],"subject":[],"published":{"date-parts":[[2021,5,22]]},"assertion":[{"value":"9 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The surgery was a standard procedure, and the patient was well informed of the operation risk. The patient was informed that treatment results are included in study analysis while patient\u2019s personal information will not be shared.  Ethics approval was obtained from the ethics committee of Shahid Beheshti University of Medical Sciences.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent for publication was obtained from the patient for information and medical images about the patient herself. The patient also understands that the text and any pictures will be freely available on the internet and may be seen by the general public.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no conflicts of interest to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"254"}}