A Trichobezoar of Gastric Proportions

Placone, Nicholas; Mann, Surinder K

doi:10.1016/j.cgh.2018.10.023

Cited by 6 publications

(6 citation statements)

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“…Una vez formados, los bezoares continúan creciendo con la ingestión de alimentos ricos en fibras no digeribles, unidas por proteínas, moco y pectina y van tomando la forma correspondiente al órgano. Posteriormente, el bezoar es colonizado por bacterias que resultan en halitosis (3,4,6) .…”

Section: Discussionunclassified

Tricobezoar gástrico: reporte de un caso y revisión de la literatura

Aranguri

Carpio

Castro³

et al. 2023

Rev Gastroenterol Peru

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El bezoar gástrico es una tumoración por cuerpo extraño que resulta de la acumulación de material no digerible en el estómago. El tricobezoar es uno de ellos y frecuentemente se presenta en la población femenina joven que padece trastornos psiquiátricos. La presentación del bezoar gástrico es insidiosa e inespecífica, teniendo un curso inicialmente asintomático por años, hasta que alcanza un tamaño que evidencia síntomas. El método diagnóstico de elección es la endoscopía, ya que permite visualizar el bezoar y plantear el tratamiento. El abordaje terapéutico estará determinado por el tipo, tamaño y consistencia de este; sin embargo, la resolución quirúrgica es la de elección, la cual siempre debe estar asociada a tratamiento psiquiátrico para prevenir la recurrencia del cuadro. Se presenta el caso de una paciente de 19 años con el diagnóstico de tricobezoar gástrico, asociado a tricotilomanía y tricofagia como patologías de fondo, y se realiza una revisión de la literatura.

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Section: Discussionunclassified

Tricobezoar gástrico: reporte de un caso y revisión de la literatura

Aranguri

Carpio

Castro³

et al. 2023

Rev Gastroenterol Peru

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“…Trichobezoar formation are reported as a rare clinical condition with primary manifestation of a psychiatric illness [28]. Among psychiatric disorders, psychiatric illness with trichotillomania and trichophagia are the major risk factors for the development of trichobezoars [10,17,24,26]. Approximately 10% of patients with trichotillomania actually demonstrate trichophagia as part of their ritualistic behavior and only 1% of patients with trichophagia develop a trichobezoar [23].…”

Section: Discussionmentioning

confidence: 99%

“…The intervention practices comprise of endoscopy, laparoscopy or laparotomy [6,10,11,24,26]. A further rare complication of Rapunzel syndrome leads to gastric perforation [24,25].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases

Saggar¹,

Saggar²

2020

IJG

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Trichobezoars are compact mass of hair occupying the gastric cavity that if left untreated can cause developmental delay, malnutrition, obstruction or perforation. The treatment options include extraction by conventional laparotomy, laparoscopy, gastrotomy or endoscopy. Since they are almost always associated with trichotillomania and trichophagia or other psychiatric disorders, psychiatric consultation is necessary to prevent relapses. We reviewed the medical charts of two patients with trichobezoar who were treated at Lord Mahavir, Civil Hospital, Ludhiana. Both the cases, aged 14 and 19 years were females and presented at the hospital with a history of epigastric discomfort, pain and vomiting. Both the girls were lean, underweight and pale skinned. First patient had trichotillomania and trichophagia for 1 year prior to presentation. The parents were unaware of patient's trichophagia but the girl revealed that she ate hair during the night. The second patient had no history of trichophagia and the bilateral loss of scalp hair indicated nocturnal involuntary eating of hair during sleep. The large palpable mass in both the cases was non-tender, hard, smooth and mobile on examination. The abdominal imaging with CT revealed the mass occupying most of the gastric cavity, and turned out to be trichobezoars. The masses were successfully extracted by laparotomy and gastrotomy. A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. Gastrotomy was found to be very successful for the surgical removal of trichobezoars. The behavioral assessment and psychiatric counselling also plays a useful role in patient management and prevention of recurrence.

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“…Phytobezoаr is the most common type of bezoar, which occurs in about 75 % of all types of bezoar, and is formed as a result of the use of a large number of bezorogenic products of plant origin, including grapes, persimmon (diospirobesoar), dates, figs, dogwood, cherries and sweet cherries, corn, pineapple [1,2,3]. Such types are also distinguished: lactobesoir -accumulation of lactose and casein (is common for children) [4]; pharmacobezoir -caused by the use of tableted drugs [5], which include: aluminum hydrochloride gel, intestinal aspirin, sucralfate, cholestyramine, nifedipine [6,7]; Sebobezoar -is formed by refractory animal fats in the form of fatty conglomerates, shellacobezoar (or pixo-or desmobezoar) -resins and bitumen [1,8]; trichobezoar -the aggregation of hair between the folds of the stomach [9,10], which occurs more often in women up to 30 years [11], is associated with mental illness and bad habits: trichotomomania (tearing hair) and trichophagia (swallowing hair), it can "tail" spread to the intestine (Rapunzel syndrome) [12]; polybezoar -mixed genesis [1,8].…”

Section: Introductionmentioning

confidence: 99%

Stomach Bezoaris, Causes of Development, Diagnosis and Methods of Treatment

2021

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The aim: Is to determine the tactics and methods of treatment of bezoars of the gastrointestinal tract. Materials and methods: From 2001 to 2019, 17 patients were diagnosed with “bezoar”. Results: Due to the “weariness” of the clinic, the diagnosis was made in the first 3 days only for 3 (17,6 %) patients. On the basis of the obtained average pH values for 4 (23,5 %) patients established moderate hypoacid, for 4 (23,5 %) - pronounced hypoacid, for 6 (35,3 %) - anacid. For 5 (29,4 %) patients, the bezoars were withdrawn on the first attempt, while the other 5 (29,4 %) were “lumped”. In the course of fibrogastroscopic examination, all patients were diagnosed with impaired motor-evacuation function of the stomach: gastroesophageal and duodenogastric refluxes, presence of passive discharge of the contents of the stomach into the esophagus. Conclusions: Therefore, the preconditions for the development of bezoars may be: hypo- and anacid, impaired motor-evacuation function of the stomach, chronic gastric ulcer,cognitive impairment. Endoscopic method should be preferred in the treatment, on condition of its failure - laparoscopic gastrotomy with bezoar extraction.

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A Trichobezoar of Gastric Proportions

Cited by 6 publications

References 0 publications

Tricobezoar gástrico: reporte de un caso y revisión de la literatura

Tricobezoar gástrico: reporte de un caso y revisión de la literatura

Diagnosis and Surgical Extraction of Large Gastric Trichobezoars: A Single Center Study of Two Cases

Stomach Bezoaris, Causes of Development, Diagnosis and Methods of Treatment

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