{"id":"https://openalex.org/W7224109478","doi":"https://doi.org/10.1159/crg/abwag025","title":"Psyllium Granule\u2013Induced Esophageal Impaction After Fundoplication Reversal: A Case Report and Literature Review","display_name":"Psyllium Granule\u2013Induced Esophageal Impaction After Fundoplication Reversal: A Case Report and Literature Review","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7224109478","doi":"https://doi.org/10.1159/crg/abwag025"},"language":"en","primary_location":{"id":"doi:10.1159/crg/abwag025","doi":"https://doi.org/10.1159/crg/abwag025","is_oa":true,"landing_page_url":"https://doi.org/10.1159/crg/abwag025","pdf_url":"https://karger.com/crg/article-pdf/doi/10.1159/crg/abwag025/4599772/000555066.pdf","source":{"id":"https://openalex.org/S188642980","display_name":"Case Reports in Gastroenterology","issn_l":"1662-0631","issn":["1662-0631"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://karger.com/crg/article-pdf/doi/10.1159/crg/abwag025/4599772/000555066.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092362264","display_name":"Mohamed H Fadul","orcid":"https://orcid.org/0009-0003-9718-2874","observed_orcids":["https://orcid.org/0009-0003-9718-2874"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Mohamed H. Fadul","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002345948","display_name":"Yousef Mohammad Saleh Yahia","orcid":"https://orcid.org/0000-0002-8468-3499","observed_orcids":["https://orcid.org/0000-0002-8468-3499"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yousef Yahia","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146157486","display_name":"Alharith Alhussien","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alharith Alhussien","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160006874","display_name":"Mohammed O. Elamien","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohammed O. Elamien","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159691377","display_name":"Mohammed Abderahim Hassan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohammed Abderahim Hassan","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5092362264"],"corresponding_institution_ids":[],"apc_list":{"value":1030,"currency":"USD","value_usd":1030},"apc_paid":{"value":1030,"currency":"USD","value_usd":1030},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86964843,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11910","display_name":"Foreign Body Medical Cases","score":0.8949999809265137,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11910","display_name":"Foreign Body Medical Cases","score":0.8949999809265137,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.037300001829862595,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.021199999377131462,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/esophageal-food-impaction","display_name":"esophageal food impaction","score":0.8379999995231628},{"id":"https://openalex.org/keywords/esophageal-obstruction","display_name":"esophageal obstruction","score":0.843999981880188},{"id":"https://openalex.org/keywords/bulk-forming-laxatives","display_name":"bulk-forming laxatives","score":0.9340000152587891},{"id":"https://openalex.org/keywords/postoperative-dysphagia","display_name":"postoperative dysphagia","score":0.968999981880188},{"id":"https://openalex.org/keywords/constipation","display_name":"constipation","score":0.6669999957084656},{"id":"https://openalex.org/keywords/endoscopic-fragmentation","display_name":"endoscopic fragmentation","score":0.8140000104904175},{"id":"https://openalex.org/keywords/cold-snare","display_name":"cold snare","score":0.8740000128746033},{"id":"https://openalex.org/keywords/esophageal-motility-disorders","display_name":"esophageal motility disorders","score":0.7630000114440918},{"id":"https://openalex.org/keywords/patient-counseling","display_name":"patient counseling","score":0.5580000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9677000045776367},{"id":"https://openalex.org/C2779372120","wikidata":"https://www.wikidata.org/wiki/Q430675","display_name":"Psyllium","level":3,"score":0.7605000138282776},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.6948999762535095},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5435000061988831},{"id":"https://openalex.org/C2780051367","wikidata":"https://www.wikidata.org/wiki/Q6005940","display_name":"Impaction","level":2,"score":0.4830999970436096},{"id":"https://openalex.org/C2780661987","wikidata":"https://www.wikidata.org/wiki/Q217972","display_name":"Laxative","level":3,"score":0.4320000112056732},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.4302999973297119},{"id":"https://openalex.org/C112497637","wikidata":"https://www.wikidata.org/wiki/Q211669","display_name":"Swallowing","level":2,"score":0.4016000032424927},{"id":"https://openalex.org/C2780168065","wikidata":"https://www.wikidata.org/wiki/Q1930043","display_name":"Regurgitation (circulation)","level":2,"score":0.38940000534057617},{"id":"https://openalex.org/C2781143854","wikidata":"https://www.wikidata.org/wiki/Q938957","display_name":"Esophagogastroduodenoscopy","level":3,"score":0.37560001015663147},{"id":"https://openalex.org/C2780867621","wikidata":"https://www.wikidata.org/wiki/Q1474190","display_name":"Nissen fundoplication","level":4,"score":0.3652999997138977},{"id":"https://openalex.org/C2777819096","wikidata":"https://www.wikidata.org/wiki/Q173710","display_name":"Esophagus","level":2,"score":0.3483000099658966},{"id":"https://openalex.org/C43376680","wikidata":"https://www.wikidata.org/wiki/Q6580786","display_name":"Bolus (digestion)","level":2,"score":0.34139999747276306},{"id":"https://openalex.org/C2781112942","wikidata":"https://www.wikidata.org/wiki/Q178436","display_name":"Constipation","level":2,"score":0.335999995470047},{"id":"https://openalex.org/C2779958274","wikidata":"https://www.wikidata.org/wiki/Q661015","display_name":"Achalasia","level":3,"score":0.3330000042915344},{"id":"https://openalex.org/C2779422922","wikidata":"https://www.wikidata.org/wiki/Q1029907","display_name":"Stomach","level":2,"score":0.33149999380111694},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3140999972820282},{"id":"https://openalex.org/C2776928572","wikidata":"https://www.wikidata.org/wiki/Q1956720","display_name":"Myotomy","level":4,"score":0.3061000108718872},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.3057999908924103},{"id":"https://openalex.org/C2908793669","wikidata":"https://www.wikidata.org/wiki/Q172941","display_name":"Esophageal Ulcer","level":3,"score":0.2964000105857849},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.27570000290870667},{"id":"https://openalex.org/C3019116470","wikidata":"https://www.wikidata.org/wiki/Q938957","display_name":"Upper gastrointestinal endoscopy","level":3,"score":0.271699994802475},{"id":"https://openalex.org/C2994597262","wikidata":"https://www.wikidata.org/wiki/Q7899041","display_name":"Barium meal","level":2,"score":0.2538999915122986}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1159/crg/abwag025","doi":"https://doi.org/10.1159/crg/abwag025","is_oa":true,"landing_page_url":"https://doi.org/10.1159/crg/abwag025","pdf_url":"https://karger.com/crg/article-pdf/doi/10.1159/crg/abwag025/4599772/000555066.pdf","source":{"id":"https://openalex.org/S188642980","display_name":"Case Reports in Gastroenterology","issn_l":"1662-0631","issn":["1662-0631"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Gastroenterology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1159/crg/abwag025","doi":"https://doi.org/10.1159/crg/abwag025","is_oa":true,"landing_page_url":"https://doi.org/10.1159/crg/abwag025","pdf_url":"https://karger.com/crg/article-pdf/doi/10.1159/crg/abwag025/4599772/000555066.pdf","source":{"id":"https://openalex.org/S188642980","display_name":"Case Reports in Gastroenterology","issn_l":"1662-0631","issn":["1662-0631"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Gastroenterology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320334468","display_name":"Qatar National Library","ror":"https://ror.org/02jv93662"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224109478.pdf","grobid_xml":"https://content.openalex.org/works/W7224109478.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W167349766","https://openalex.org/W1985634087","https://openalex.org/W2029744805","https://openalex.org/W2042786381","https://openalex.org/W2043887274","https://openalex.org/W2056133218","https://openalex.org/W2069999097","https://openalex.org/W2084727503","https://openalex.org/W2095388993","https://openalex.org/W2106461574","https://openalex.org/W2897101163","https://openalex.org/W4214615366"],"related_works":["https://openalex.org/W2978038371","https://openalex.org/W2897101163","https://openalex.org/W1977709783","https://openalex.org/W2029744805","https://openalex.org/W2043887274","https://openalex.org/W2399120280","https://openalex.org/W75038285","https://openalex.org/W4376642621","https://openalex.org/W78651360","https://openalex.org/W4249360215"],"abstract_inverted_index":{"Introduction:":[0],"Constipation":[1],"is":[2,11],"one":[3],"of":[4,62,69,90,119],"the":[5,60,107,122,128],"most":[6],"common":[7],"gastrointestinal":[8,42,99],"complaints":[9],"and":[10,29,88,124,159,169],"frequently":[12],"treated":[13],"with":[14,52,66,83,146],"bulk-forming":[15],"laxatives":[16,137],"such":[17],"as":[18],"psyllium.":[19],"Psyllium-based":[20,135],"granules":[21,96],"are":[22,173],"hydrophilic":[23],"fiber":[24],"derivatives":[25],"that":[26],"absorb":[27],"water":[28],"expand":[30],"in":[31,50,144],"volume.":[32],"Although":[33],"generally":[34],"considered":[35],"safe,":[36],"these":[37],"agents":[38],"can":[39],"rarely":[40,139],"cause":[41,140],"obstruction":[43],"when":[44],"ingested":[45],"without":[46],"adequate":[47,166],"liquid":[48],"or":[49,150],"patients":[51,145],"impaired":[53],"esophageal":[54,141,148],"transit":[55],"Case":[56],"Presentation:":[57],"We":[58],"report":[59],"case":[61],"a":[63,67,102,113],"58-year-old":[64],"man":[65],"history":[68],"Nissen":[70],"fundoplication":[71],"followed":[72],"by":[73],"surgical":[74],"reversal":[75],"due":[76],"to":[77],"persistent":[78],"postoperative":[79],"dysphagia.":[80],"He":[81],"presented":[82],"acute":[84],"retrosternal":[85],"pain,":[86],"dysphagia,":[87],"regurgitation":[89],"fluids":[91],"shortly":[92],"after":[93],"ingesting":[94],"psyllium":[95],"(Agiolax).":[97],"Upper":[98],"endoscopy":[100],"revealed":[101],"large":[103],"firm":[104],"bolus":[105],"obstructing":[106],"distal":[108],"esophagus.":[109,129],"Endoscopic":[110],"fragmentation":[111],"using":[112],"cold":[114],"snare":[115],"allowed":[116],"partial":[117,125],"advancement":[118],"fragments":[120],"into":[121],"stomach":[123],"retrieval":[126],"through":[127],"No":[130],"immediate":[131],"complications":[132],"occurred.":[133],"Conclusion:":[134],"bulk":[136],"may":[138],"obstruction,":[142],"particularly":[143],"underlying":[147],"structural":[149],"motility":[151],"abnormalities.":[152],"Prompt":[153],"endoscopic":[154],"evaluation":[155],"allows":[156],"both":[157],"diagnosis":[158],"definitive":[160],"treatment.":[161],"Careful":[162],"patient":[163],"counseling":[164],"regarding":[165],"fluid":[167],"intake":[168],"screening":[170],"for":[171],"dysphagia":[172],"important":[174],"preventive":[175],"measures.":[176]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-29T00:00:00"}