diverticular disease then the dietary theory would not explain the occurrence of the disease in five young patients in this series. Possibly the most important factor in diagnosing diverticular disease is the availability of radiological facilities. As the population coverage of health services in Kenya is not expected to reach even 50% by 19845 very few people are likely to undergo barium-enem...

We read with interest the article of Shetty et al [1] on trichotillomania with gastric trichobezoar obstruction. Similarly, Zin et al [2] reported on okra phytobezoar-related gastrojejunostomy efferent limb obstruction. We report a case of a 76-year-old man with a medical history of ulcer disease referred to our hospital due to recurrent vomiting, nausea and inability of food intake for the pre...

Bezoars can result from any indigestible or poorly digestible substance that is capable of forming concretions within the gastrointestinal tract including stomach and small intestine. Phytobezoars are composed of concretions of vegetable matters [1]. Most of patients with bezoars are asymptomatic but intestinal obstruction has been reported [2]. Small intestinal phytobezoars are almost always o...