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BEZOARS OF THE GASTROINTESTINAL TRACT IN CHILDREN
- Authors: Grigovich I.N.1, Savchuk O.B.2, Savchuk M.O.2, Derbenev V.V.2
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Affiliations:
- PetrSU
- Children's Republican Hospital
- Issue: Vol 8, No 3 (2018)
- Pages: 76-80
- Section: Original Study Articles
- URL: https://rps-journal.ru/jour/article/view/451
- DOI: https://doi.org/10.30946/2219-4061-2018-8-3-76-80
- ID: 451
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Abstract
The purpose of the study: evaluation of the results of surgical treatment of children with bezoars of the gastrointestinal tract.
Materials and methods. Over the past 18 years, we have observed 6 children with bezoaris (girls-4, boys-2). Of these, 5 children with trichobezoirs of the stomach and intestines and one child with polybezoar – rags, bandages. Age fluctuated from 8 to 13 years. Only one girl was at the age of 3 years. With careful collection of anamnesis, it was found that everyone had a bad habit of chewing the ends of the hair. Only one child suffering from a severe CNS lesion had a polybekoar. It is difficult to determine the exact period of existence of trihobezoars. Children were registered with pediatricians for gastritis 2–3 years; perhaps these were the first signs of the formation of trichobezoara in the stomach.
Results. Of the six children operated 5 (3 girls and 2 boys). At one girl of 12 years the tri-chaser in the size of 4 sm was in a stomach, and its tail descended in duodenum. This bezoar removes endoscopically. The remaining 5 children were operated. All the children recovered.
Conclusions. With trihobezoare stomach possible endoscopic removal. However, the main method of treating children with bezoars of the gastrointestinal tract is surgical.
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About the authors
I. N. Grigovich
PetrSU
Email: igrigjvch@yandex.ru
Igor N. GRIGOVICH - Dr Sci (med), professor, head. Department of Pediatrics and Pediatric Surgery
185002 Petrozavodsk, Parkovaya 58
O. B. Savchuk
Children's Republican Hospital
Author for correspondence.
Email: savchuk49ob@mail.ru
Oleg B. SAVCHUK - Deputy Chief Physician for Surgery Children’s Republican Hospital, the main children’s surgeon of the Republic of Karelia
185002 Petrozavodsk, Parkovaya 58
Russian FederationM. O. Savchuk
Children's Republican Hospital
Email: michas79@mail.ru
Michail O. SAVCHUK - Head of the Surgical Department of the Regional Clinical Hospital
185002 Petrozavodsk, Parkovaya 58
Russian FederationV. V. Derbenev
Children's Republican Hospital
Email: fake@neicon.ru
Valeriy V. DERBENEV - Cand. Sci (med), head of the Department of Endoscopy and Functional Diagnostics
185002 Petrozavodsk, Parkovaya 58
Russian FederationReferences
- Григович И. Н. Редкие хирургические заболевания пищеварительного тракта у детей – Л. Медицина. – 1985. – с. 153–159.
- Веселый С. В., Сопов Г. А., Латышов К. В. Инородные тела желудочнокишечного тракта у ребенка.// Детская хирургия. – 2012. – № 1. – с. 50–51.
- Еловой М. М., Борозна В. Г., Кухтарев А. А., Разумова Т. Е. Трихобезоары желудка и тонкой кишки у детей. //Новости хирургии. – 2012. – № 2. – с. 96–100.
- Щербак В. А., Гаймоленко С. Г., Черданцева В. Г. Два случая трихобезоаров у девочек. //Вопросы современной педиатрии. – 2016. – Том 15. – № 3 – с. 311–314. doi.org/10.15690/vsp.v15i3.1570
- Соколов Ю. Ю., Ионов Д. В., Туманян Г. Т., Донской Д. В., Хаспеков Д. В., Шувалов М. Э. Миниинвазивные методы удаления трихобезоаров желудка и двенадцатиперстной кишки у детей. //Российский вестник детской хирургии, анестезиологии и реаниматологии – 2012; – № 1. – с. 56–59.
- Петлах В. И., Сергеев А. В., Виноградов А. Я. Трихобезоары желудка у детей.// Российский вестник перинатологии и педиатрии. – 2013. – № 2. – с. 70–73.
- Gorter R. R.,Kneepkens C. M., Mattens E. C. Management of trichobezoars:case report and literature review. Pegiatric. Surgery International. 2010; 26 (5):457–63. doi.org/10.1007/s00383-010-2570-0
- Koulas S. G., Zikos N., Charalampous C. Management of gastrointestinal bezoars: an analysis of 23 cases. Int. Surg. 2008; 93:95–8.
- Ladas S. D., Kamberoglou D., Karamanoli G. Systematic review: Coca-cola can effectively dissolve gastric phytobezoars as a first-line treatment. Alient.Pharmacol.Ther. 2013;37 (2):169–73. doi.org/10.1111/apt.12141
- Meier C. M., Furtwaengler R. Trichophagia: Rapunzel syndrome in a 7‑year-old girl. J. Pediatr. 2015;166 (2):497. doi: 10.1016/j.jpeds.2014.10.040.
- Czerwinska K., Bekiesinska-Figatowska M., Brzewski M. Gogolewski M., Wolski M. Trichobezoar, rapunzel syndrome, tricho-plaster bezoar – a report of three cases. Pol. J. Radiol. 2015;80:241–6. doi.org/10.12659/pjr.893478.
- Коновалов А. К., Петлах В. И., Константинова И. Н., Савельев С. Б., Ганиев Ш. А. Острая кишечная непроходимость как осложнение фитотрихобезоара. //Российский вестник детской хирургии, анестезиологии и реаниматологии. 2017;7 (3):91–4.
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