Disolución exitosa de un bezoar gigante tras tratamiento con complejo enzimático.

A giant gastric phytobezoar in a 67-year-old man was successfully treated with an oral enzyme complex over three months.

• The patient was a 67-year-old man with a previously asymptomatic giant gastric phytobezoar who developed subocclusive symptoms.
• Treatment consisted of an oral enzyme complex (Digeston Plus®) containing digestive enzymes and probiotic bacteria.
• The patient completed a three-month treatment course.
• Outcomes included symptom resolution and near-complete dissolution of the bezoar without the need for invasive intervention.

Bezoars are an uncommon cause of intestinal obstruction and no standard therapy currently exists for giant bezoars.

• A review of the literature was performed to evaluate available treatment strategies.
• The authors note that no standard therapy exists to date for giant bezoars.
• Multiple management approaches exist, including invasive and surgical treatments.
• The authors suggest invasive or surgical treatments should not be considered first-line when conservative options are feasible, as recurrence can occur.

Conservative management with an enzyme complex was selected as the treatment approach for this giant phytobezoar case.

• The enzyme complex Digeston Plus® was used, containing digestive enzymes and probiotic bacteria.
• The conservative approach was chosen over invasive intervention given the feasibility of non-invasive options.
• The treatment duration was three months.
• This case represents a report of successful non-invasive dissolution of a giant bezoar using this specific enzyme complex formulation.