Skip to main content
Top
Published in: Clinical Journal of Gastroenterology 5/2017

01-10-2017 | Case Report

Esophageal bezoar due to karaya gum granules used as a laxative

Author: Sern Wei Yeoh

Published in: Clinical Journal of Gastroenterology | Issue 5/2017

Login to get access

Abstract

Esophageal obstruction from soluble fiber laxatives, such as karaya gum, has been rarely reported in the literature. However, as such preparations are widely commercially available, it is important for gastroenterologists to be aware of their potential to form a bezoar in the esophagus due to swelling on contact with liquid. This report highlights such a case and discusses its challenging management.
Literature
1.
go back to reference Anderson DM. Evidence for the safety of gum karaya (Sterculia spp.) as a food additive. Food Addit Contam. 1989;6(2):189–99.CrossRefPubMed Anderson DM. Evidence for the safety of gum karaya (Sterculia spp.) as a food additive. Food Addit Contam. 1989;6(2):189–99.CrossRefPubMed
2.
go back to reference Sandeman DR, Clements MR, Perrins EJ. Oesophageal obstruction due to hygroscopic gum laxative. Lancet. 1980;1(8164):364–5.CrossRefPubMed Sandeman DR, Clements MR, Perrins EJ. Oesophageal obstruction due to hygroscopic gum laxative. Lancet. 1980;1(8164):364–5.CrossRefPubMed
3.
go back to reference Goldman JL. Esophageal obstruction from a hygroscopic gum laxative (Saraka). JAMA. 1937;108:1408–9.CrossRef Goldman JL. Esophageal obstruction from a hygroscopic gum laxative (Saraka). JAMA. 1937;108:1408–9.CrossRef
4.
go back to reference Waltz MR. Esophageal obstruction resulting from an injudicious method of ingesting a hygroscopic gum laxative (Saraka). JAMA. 1939;112:229.CrossRef Waltz MR. Esophageal obstruction resulting from an injudicious method of ingesting a hygroscopic gum laxative (Saraka). JAMA. 1939;112:229.CrossRef
5.
go back to reference Hinkel CL. Complete obstruction of the esophagus following Serutan ingestion. JAMA. 1951;146:1129–31.CrossRef Hinkel CL. Complete obstruction of the esophagus following Serutan ingestion. JAMA. 1951;146:1129–31.CrossRef
6.
7.
go back to reference Melamed A, Marck A. Esophageal obstruction due to Serutan. JAMA. 1953;152:318.CrossRef Melamed A, Marck A. Esophageal obstruction due to Serutan. JAMA. 1953;152:318.CrossRef
8.
go back to reference Sauerbruch T, Kuntzen O, Unger W. Agiolax bolus in the esophagus. Report of two cases. Endoscopy. 1980;12(2):83–5.CrossRefPubMed Sauerbruch T, Kuntzen O, Unger W. Agiolax bolus in the esophagus. Report of two cases. Endoscopy. 1980;12(2):83–5.CrossRefPubMed
9.
go back to reference Noble JA, Grannis FW Jr. Acute esophageal obstruction by a psyllium-based bulk laxative. Chest. 1984;86(5):800.CrossRefPubMed Noble JA, Grannis FW Jr. Acute esophageal obstruction by a psyllium-based bulk laxative. Chest. 1984;86(5):800.CrossRefPubMed
10.
11.
go back to reference Opper FH, Isaacs KL, Warshauer DM. Esophageal obstruction with a dietary fiber product designed for weight reduction. J Clin Gastroenterol. 1990;12(6):667–9.CrossRefPubMed Opper FH, Isaacs KL, Warshauer DM. Esophageal obstruction with a dietary fiber product designed for weight reduction. J Clin Gastroenterol. 1990;12(6):667–9.CrossRefPubMed
12.
go back to reference Seidner DL, Roberts IM, Smith MS. Esophageal obstruction after ingestion of a fiber-containing diet pill. Gastroenterology. 1990;99:1820–2.CrossRefPubMed Seidner DL, Roberts IM, Smith MS. Esophageal obstruction after ingestion of a fiber-containing diet pill. Gastroenterology. 1990;99:1820–2.CrossRefPubMed
13.
go back to reference Lewis JH. Esophageal and small bowel obstruction from guar gum-containing “diet pills”: analysis of 26 cases reported to the Food and Drug Administration. Am J Gastroenterol. 1992;87(10):1424–8.PubMed Lewis JH. Esophageal and small bowel obstruction from guar gum-containing “diet pills”: analysis of 26 cases reported to the Food and Drug Administration. Am J Gastroenterol. 1992;87(10):1424–8.PubMed
14.
go back to reference Angueira C, Kadakia S. Esophageal and duodenal bezoars from Perdiem. Gastrointest Endosc. 1993;39(1):110–1.CrossRefPubMed Angueira C, Kadakia S. Esophageal and duodenal bezoars from Perdiem. Gastrointest Endosc. 1993;39(1):110–1.CrossRefPubMed
15.
go back to reference Pérez-Piqueras J, Silva C, Jaqueti J, et al. Endoscopic diagnosis and treatment of an esophageal bezoar resulting from bulk laxative ingestion. Endoscopy. 1994;26(8):710.CrossRefPubMed Pérez-Piqueras J, Silva C, Jaqueti J, et al. Endoscopic diagnosis and treatment of an esophageal bezoar resulting from bulk laxative ingestion. Endoscopy. 1994;26(8):710.CrossRefPubMed
16.
go back to reference Schapira M, Henrion J, Jonard P, et al. Esophageal bezoar: report of five more cases. Endoscopy. 1995;27(4):342.CrossRefPubMed Schapira M, Henrion J, Jonard P, et al. Esophageal bezoar: report of five more cases. Endoscopy. 1995;27(4):342.CrossRefPubMed
17.
go back to reference Vergeau B, Nizou C, Ciribilli JM, et al. A case of esophageal obstruction after ingestion of a granular laxative. Endoscopy. 1995;27(6):462.CrossRefPubMed Vergeau B, Nizou C, Ciribilli JM, et al. A case of esophageal obstruction after ingestion of a granular laxative. Endoscopy. 1995;27(6):462.CrossRefPubMed
18.
go back to reference Brown DC, Doughty JC, George WD. Surgical treatment of oesophageal obstruction after ingestion of a granular laxative. Postgrad Med J. 1999;75(880):106.CrossRefPubMedPubMedCentral Brown DC, Doughty JC, George WD. Surgical treatment of oesophageal obstruction after ingestion of a granular laxative. Postgrad Med J. 1999;75(880):106.CrossRefPubMedPubMedCentral
19.
go back to reference Shulman LM, Minagar A, Weiner WJ. Perdiem causing esophageal obstruction in Parkinson’s disease. Neurology. 1999;52(3):670–1.CrossRefPubMed Shulman LM, Minagar A, Weiner WJ. Perdiem causing esophageal obstruction in Parkinson’s disease. Neurology. 1999;52(3):670–1.CrossRefPubMed
20.
go back to reference Herrle F, Peters T, Lang C, et al. Bolus obstruction of pouch outlet by a granular bulk laxative after gastric banding. Obes Surg. 2004;14(7):1022–4.CrossRefPubMed Herrle F, Peters T, Lang C, et al. Bolus obstruction of pouch outlet by a granular bulk laxative after gastric banding. Obes Surg. 2004;14(7):1022–4.CrossRefPubMed
21.
go back to reference Dray X, Samaha E, Tuszynski T. Pouch outlet obstruction by psyllium-based bulk laxative bezoar in a patient with gastric banding. Surg Obes Relat Dis. 2015;11(2):483–4.CrossRefPubMed Dray X, Samaha E, Tuszynski T. Pouch outlet obstruction by psyllium-based bulk laxative bezoar in a patient with gastric banding. Surg Obes Relat Dis. 2015;11(2):483–4.CrossRefPubMed
23.
go back to reference Waud WP. Fecal impaction due to a hygroscopic gum laxative. Am J Dig Dis. 1940;7:297–8.CrossRef Waud WP. Fecal impaction due to a hygroscopic gum laxative. Am J Dig Dis. 1940;7:297–8.CrossRef
24.
go back to reference Agha FP, Nostrant TT, Fiddian-Green RG. “Giant colonic bezoar:” a medication bezoar due to psyllium seed husks. Am J Gastroenterol. 1984;79(4):319–21.PubMed Agha FP, Nostrant TT, Fiddian-Green RG. “Giant colonic bezoar:” a medication bezoar due to psyllium seed husks. Am J Gastroenterol. 1984;79(4):319–21.PubMed
25.
go back to reference Frohna WJ. Metamucil bezoar: an unusual cause of small bowel obstruction. Am J Emerg Med. 1992;10:393–5.CrossRefPubMed Frohna WJ. Metamucil bezoar: an unusual cause of small bowel obstruction. Am J Emerg Med. 1992;10:393–5.CrossRefPubMed
26.
go back to reference Oka A, Ishihara S, Kinoshita Y. An unusual case of a gastric foreign body. Gastroenterology 2013; 145(6):1206, 1500–1501. Oka A, Ishihara S, Kinoshita Y. An unusual case of a gastric foreign body. Gastroenterology 2013; 145(6):1206, 1500–1501.
27.
go back to reference Chen YA, Cervini P, Kirpalani A, et al. Small bowel obstruction following computed tomography and magnetic resonance enterography using psyllium seed husk as an oral contrast agent. Can J Gastroenterol Hepatol. 2014;28(7):391–5.CrossRefPubMedPubMedCentral Chen YA, Cervini P, Kirpalani A, et al. Small bowel obstruction following computed tomography and magnetic resonance enterography using psyllium seed husk as an oral contrast agent. Can J Gastroenterol Hepatol. 2014;28(7):391–5.CrossRefPubMedPubMedCentral
28.
go back to reference Bouras EP, Talley NJ, Camilleri M, et al. Effects of amitriptyline on gastric sensorimotor function and postprandial symptoms in healthy individuals: a randomized, double-blind, placebo-controlled trial. Am J Gastroenterol. 2008;103(8):2043–50.CrossRefPubMedPubMedCentral Bouras EP, Talley NJ, Camilleri M, et al. Effects of amitriptyline on gastric sensorimotor function and postprandial symptoms in healthy individuals: a randomized, double-blind, placebo-controlled trial. Am J Gastroenterol. 2008;103(8):2043–50.CrossRefPubMedPubMedCentral
29.
go back to reference Holzer P. Treatment of opioid-induced gut dysfunction. Expert Opin Investig Drugs. 2007;16(2):181–94.CrossRefPubMed Holzer P. Treatment of opioid-induced gut dysfunction. Expert Opin Investig Drugs. 2007;16(2):181–94.CrossRefPubMed
30.
go back to reference McCallum RW, Soykan I, Sridhar KR, et al. Delta-9-tetrahydrocannabinol delays the gastric emptying of solid food in humans: a double-blind, randomized study. Aliment Pharmacol Ther. 1999;13(1):77–80.CrossRefPubMed McCallum RW, Soykan I, Sridhar KR, et al. Delta-9-tetrahydrocannabinol delays the gastric emptying of solid food in humans: a double-blind, randomized study. Aliment Pharmacol Ther. 1999;13(1):77–80.CrossRefPubMed
Metadata
Title
Esophageal bezoar due to karaya gum granules used as a laxative
Author
Sern Wei Yeoh
Publication date
01-10-2017
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 5/2017
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-017-0764-x

Other articles of this Issue 5/2017

Clinical Journal of Gastroenterology 5/2017 Go to the issue