Etiopathogenesis of forming bezoars in the case of children and their prophylaxis
Journal Title: Медицинский альманах - Year 2016, Vol 2, Issue 2
Abstract
In two departments for 25 years observed 18 children with a bezoar of the gastrointestinal tract (GIT) aged 1 to 16 years (10 girls and 8 boys). Most bezoar formed in the stomach (from 13 pers.) or in the duodenum (for 4 pers.). In 4 cases, they then migrated to the small intestine; 1 patient stone formed in Meckel's diverticulum. In terms of composition dominated phytobezoars (10) of persimmon (in 7), oranges, nuts and grapes. In other cases they were miksobezoars (y 4), trichobezoars (y 2), and pikso- laktobezoary (1). The main reasons for the formation of a bezoar were uncontrolled reception of a large amounts bezoarogennnyh plant products and substances, indigestible in the stomach, trichotillomania. In addition, 6 patients as a causative factor established role gastrointestinal abnormalities. Bezoar defined prevention in children. After surgical or endoscopic removal of a bezoar patients were followed until the age of 18 in compliance with preventive measures. Relapses bezoar not installed.
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