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We reported a case of huge gastric phytobezoar. The gastric phytobezoar was successfully removed through gastrotomy after two failed attempts in endoscopic fragmentation and removal. Disopyrobezoars could be treated either conservatively or surgically. Gastrotomy or laparoscopical management is recommended for the treatment of huge disopyrobezoars.doi:10.3748/wjg.14.152 pmid:18176981 pmcid:PMC2673384 fatcat:covaea5winbunesqfdldvww2ju