What can be done for bezoar if they do not respond to treatment?

What can be done for bezoar if they do not respond to treatment?

• A. Observation
• B. Surgery can be performed to remove the bezoar
• C. High-dose antibiotics
• D. Endoscopic laser dissolution

Answer: (B)

Bezoars that don’t respond to nonoperative measures require definitive removal to relieve obstruction and prevent complications. Surgical removal directly extracts the mass and allows assessment for any tissue damage, perforation, or other issues. Observation isn’t appropriate here because the persistent blockage can worsen and lead to further problems. High-dose antibiotics won’t address the bezoar itself since it’s a physical mass, not an infection to be treated with antibiotics. Endoscopic laser dissolution isn’t a reliable or standard method for removing a bezoar, especially larger or firmly attached ones. For nonresponsive bezoars, surgery is the most appropriate next step.

Bezoars that don’t respond to nonoperative measures require definitive removal to relieve obstruction and prevent complications. Surgical removal directly extracts the mass and allows assessment for any tissue damage, perforation, or other issues. Observation isn’t appropriate here because the persistent blockage can worsen and lead to further problems. High-dose antibiotics won’t address the bezoar itself since it’s a physical mass, not an infection to be treated with antibiotics. Endoscopic laser dissolution isn’t a reliable or standard method for removing a bezoar, especially larger or firmly attached ones. For nonresponsive bezoars, surgery is the most appropriate next step.