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- W2106461574 abstract "We report on a 59-year-old woman who underwent laparoscopic adjustable gastric banding (LAGB) for morbid obesity in 2008. Her body mass index (BMI) decreased from 41 to 25 kg/m2 (excess weight loss [EWL] 100%), with excellent tolerance until she started a psyllium-based treatment for constipation. She then developed lower chest pain and aphagia. A barium swallow showed an obstruction of a dilated pouch outlet over the gastric banding (Fig. 1). Endoscopy showed a viscous, greenish, psyllium-based medication impaction in the pouch outlet (Fig. 2). The impaction was too viscous to allow successful endoscopic grasping. Repeated and tedious suctions into a cap allowed extraction of small pieces of the bezoar. A working space was finally created large enough to achieve complete removal of the bezoar with a net retriever. Psyllium-based medication was stopped." @default.
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- W2106461574 date "2015-03-01" @default.
- W2106461574 modified "2023-10-01" @default.
- W2106461574 title "Pouch outlet obstruction by psyllium-based bulk laxative bezoar in a patient with gastric banding" @default.
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- W2106461574 doi "https://doi.org/10.1016/j.soard.2015.01.018" @default.
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