A. S. BANGURA ET AL.
244
Therapy for bezoars should be tailored to the composi-
tion of the concretion and to the underlying pathophysi-
ologic process. Available treatment methods include
chemical dissolution, endoscopic and surgical removal.
Removal of the bezoar does not alleviate the underly-
ing problem. Preventive therapy should be implemented
to avoid recurrence, reported in 14% of patients [24].
Patients should be encouraged to drink lots of water, to
appropriately modify their diet (e.g., avoid persimmons
and stringy vegetables), to chew food carefully and pro-
perly (especially important for bariatric surgery patients)
and to seek psychiatric evaluation if needed (for trich-
obezoars). Treating an underlying motility problem may
be useful as a preventive measure in some patients.
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