Bezoar

Yeh, Jesson; Saul, Turandot; Gingrich, Aaron; Wassermann, J.

doi:10.1016/j.jemermed.2013.02.003

Cited by 6 publications

(6 citation statements)

References 3 publications

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“…Los bezoares del tubo digestivo, se consideran poco frecuentes, con una incidencia que ha venido en disminución con el paso del tiempo; Ahn, et al, reportaron una de 0,43 % durante un periodo de siete años, y Mihai, et al, una de 0,068 % durante un periodo de 20 años 4,5 . Se presentan con mayor frecuencia en pacientes de sexo femenino con trastornos psiquiátricos, como en el presente caso; sin embargo, su prevalencia varía según las poblaciones y sus costumbres, como en Corea y Japón, en donde predominan los fitobezoares 6,7 .…”

Section: Discussionunclassified

Bezoar gástrico de plástico como causa de pancreatitis aguda: reporte de un caso y revisión de la literatura

et al. 2017

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Section: Discussionunclassified

Bezoar gástrico de plástico como causa de pancreatitis aguda: reporte de un caso y revisión de la literatura

et al. 2017

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“…Four primary types of bezoars have been described based on the nature of the forming materials, which are always non-food items taken orally, accidentally or intentionally [2,3]. Phytobezoars, the most common type, contain plant and vegetable substances, such as shells, seeds, and fruit remnants; trichobezoars are mainly composed of ingested hair; pharmacobezoars are conglomerates of medications; and lactobezoars are undigested masses of concentrated infant milk formula and mucus.…”

Section: The Nature Of Bezoarsmentioning

confidence: 99%

Indigestible Trichobezoar Mimicking Inflammatory Bowel Disease: A Case Report and a Literature Review

Bellini,

Franzone,

Pezzotta

et al. 2024

Emergency Care and Medicine

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A 15-year-old girl was admitted to the Pediatric Emergency Department due to abdominal discomfort, anorexia, diarrhea, emesis, and weight loss. An inflammatory bowel disease diagnosis was suspected and a complete endoscopic investigation was deemed necessary. Initially, only colonoscopy with ileoscopy was performed, with evidence of widespread ileal ulcers, whereas a subsequent esophagogastroduodenoscopy revealed a huge trichobezoar that was further surgically removed. Trichobezoars are intraluminal conglomerates composed of ingested hair and are typically associated with underlying psychiatric disorders. Bezoars can be asymptomatic or present with various gastrointestinal symptoms, mimicking, among other conditions, inflammatory bowel disease. They may extend through the pylorus into the jejunum leading to Rapunzel Syndrome, which may cause intestinal obstruction. The treatment of trichobezoar depends on its location and volume. An endoscopic approach is possible for small-sized trichobezoars, but to avoid bezoar tail migration along the intestine, causing obstruction, conventional laparotomy is the only valid treatment for patients with Rapunzel Syndrome. Due to the increasing incidence of psychiatric disorders in pediatric age during the SARS-CoV-2 pandemic and their relationship with trichobezoars, an increase in cases of trichobezoars was observed. Thus, interdisciplinary collaboration between psychiatrists, pediatricians, and surgeons is crucial not only during the acute phase but also for long-term management and prevention of recurrence.

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“…Bezoar is the accumulation and formation of a mass of substances, such as food, medicines, and hair in the gastrointestinal tract (GIS), which are taken orally and cannot be digested. [ 1 ] Four primary types of bezoars have been identified according to their contents. Bezoars containing plant materials such as vegetable and fruit fibers, shells and seeds are called phytobezoars; those, whose main component is hair, are called trichobezoar; those, whose main component are medicines, are called pharmacobezoars; and those, whose main component is milk proteins, are called lactobezoars.…”

Section: Introductionmentioning

confidence: 99%

Bezoar Types in Children and Aetiological Factors Affecting Bezoar Formation

Dörterler

Günendi²,

Çakmak³

et al. 2023

African Journal of Paediatric Surgery

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Background: Bezoar is formed as a result of the accumulation of undigested food or foreign substances in the gastrointestinal tract (GIS). The present study aims to investigate the bezoar types seen in children and the aetiological factors involved in bezoar formation. Methods: A total of 16 patients who underwent an endoscopy and/or surgical treatment for bezoar at Harran University, Faculty of Medicine Pediatric Surgery Clinic between 2011 and 2019 were included in the study. The demographic information, laboratory and radiological findings were obtained from the patients' file records. Results: A total of ten patients (62.5%) were female with a mean age of 7.8 ± 4.9 years. Phytobezoars were detected in ten patients, trichobezoars in two patients, lactobezoar in one patient, and other types in three patients. The aetiological factors were determined to be congenital GIS anomaly in 6 (37.5%) patients; trichotillomania in 2 (12.5%) patients; mental retardation in 2 (12.5%) patients; ingestion of a foreign body during infancy in 2 (12.5%) patients; high intake of high-fibre fruit in 3 (18.5%) patients; and postoperative dysmotility in 2 (12.5%) patients. Conclusions: Congenital GIS anomalies are mostly responsible for bezoar etiology in children and phytobezoar is the most common type of bezoar.

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Bezoar

Cited by 6 publications

References 3 publications

Bezoar gástrico de plástico como causa de pancreatitis aguda: reporte de un caso y revisión de la literatura

Bezoar gástrico de plástico como causa de pancreatitis aguda: reporte de un caso y revisión de la literatura

Indigestible Trichobezoar Mimicking Inflammatory Bowel Disease: A Case Report and a Literature Review

Bezoar Types in Children and Aetiological Factors Affecting Bezoar Formation

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